Individual
MARY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(585) 279-4800
Mailing address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(585) 279-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309785
NY
Other
Enumeration date
04/13/2018
Last updated
01/05/2022
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