Individual
KATHERINE MCELWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, FAMILY BIRTH PLACE, ROCHESTER, NY 14626-4122
(585) 368-4006
(585) 368-4009
Mailing address
1555 LONG POND RD, FAMILY BIRTH PLACE, ROCHESTER, NY 14626-4122
(585) 368-4006
(585) 368-4009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03952747
—
NY
Enumeration date
10/29/2012
Last updated
06/07/2016
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