Individual
SUSAN R. GRODENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.O.M., LAC
Contact information
Practice address
26 AZALEA RD, ROCHESTER, NY 14620-3020
(585) 369-6850
(585) 319-4108
Mailing address
1 W MAIN ST, HONEOYE FALLS, NY 14472-1101
(585) 369-6850
(585) 319-4108
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002226
—
NY
Enumeration date
03/25/2015
Last updated
03/25/2015
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