Individual
TAMMY MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4227
(585) 338-7485
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
(585) 922-1002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F430727-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F430727-1
LICENSE
NY
Enumeration date
09/23/2013
Last updated
12/09/2022
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