Individual
MAYDELIN REVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 EVERWILD LN, ROCHESTER, NY 14616-2056
(585) 685-5544
Mailing address
76 EVERWILD LN, ROCHESTER, NY 14616-2056
(585) 685-5544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
863527-01
NY
363L00000X
Nurse Practitioner
Primary
F359907-01
NY
Other
Enumeration date
04/27/2024
Last updated
07/05/2026
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