Individual
BRENDA PEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 ELDORA DR, ROCHESTER, NY 14624-2515
(585) 727-5519
Mailing address
10 ELDORA DR, ROCHESTER, NY 14624-2515
(585) 727-5519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-4180957
NYS DEPT OF TAXATION AND FINANCE PLLC TAX ID
NY
Enumeration date
01/10/2012
Last updated
01/10/2012
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