Individual
BROOKE SARAH HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE # 400, ROCHESTER, NY 14621-3001
(585) 922-4121
(585) 922-4128
Mailing address
1425 PORTLAND AVE # 400, ROCHESTER, NY 14621-3001
(585) 922-4121
(585) 922-4128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253346
NY
207ZP0101X
Anatomic Pathology Physician
Primary
253346
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
253346-1
NY
Other
Enumeration date
09/22/2006
Last updated
04/06/2020
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