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Individual

DR. MARY KATRINA HINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4003
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617
(585) 922-1304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234243
NY
207RI0200X
Infectious Disease Physician
Primary
234243
NY
207RI0200X
Infectious Disease Physician
D0079619
MD

Other

Enumeration date
10/25/2005
Last updated
11/20/2020
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