Individual
COLLEEN MARIE BURGOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE BOX 689, ROCHESTER, NY 14642-0001
(585) 275-0526
(585) 273-1055
Mailing address
136 CYPRESS ST, ROCHESTER, NY 14620-2302
(585) 319-0913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341796
NY
Other
Enumeration date
06/07/2017
Last updated
06/29/2023
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