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Individual

MEGAN KIM RICCOBONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE, BOX 681, ROCHESTER, NY 14642-0001
(585) 275-2530
Mailing address
206 TRUMBULL PKWY, BATAVIA, NY 14020-1708

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307296
NY

Other

Enumeration date
12/15/2014
Last updated
10/23/2015
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