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Individual

ELIZA WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
73 REITZ PKWY, PITTSFORD, NY 14534-2232
(315) 416-3300

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015223
NY

Other

Enumeration date
03/20/2012
Last updated
05/06/2021
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