Individual
MORRIS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1732 SOUTH AVE, ROCHESTER, NY 14620-4238
(585) 461-0410
Mailing address
1732 SOUTH AVE, ROCHESTER, NY 14620-4238
(585) 461-0410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F332882-1
NY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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