Individual
ADAM DENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
200 FAIRPORT RD, EAST ROCHESTER, NY 14445-1906
(585) 524-0008
Mailing address
1520 OSBURN LN, FARMINGTON, NY 14425-8825
(607) 742-1366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404966-01
NY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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