Individual
MITCHELL HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4882
(585) 922-4936
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4882
(585) 922-4936
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023727
NY
Other
Enumeration date
06/25/2019
Last updated
10/22/2019
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