Individual
JESSICA BENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 ELMGROVE RD, ROCHESTER, NY 14624-6236
(585) 426-4100
Mailing address
900 ELMGROVE RD, ROCHESTER, NY 14624-6236
(585) 426-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
707723
NY
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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