Individual
BECKY KATHLEEN SKINNER
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
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018719
NY
Other
Enumeration date
06/08/2015
Last updated
03/04/2019
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