Individual
MANISHA K. VIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
601 ELMWOOD AVE # 675, ROCHESTER, NY 14642-1909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6743091
NY
363L00000X
Nurse Practitioner
431464
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F4314641
NY
Other
Enumeration date
07/09/2019
Last updated
07/03/2023
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