Individual
EVELYN STELMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4101
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02966407
—
NY
Enumeration date
10/06/2006
Last updated
01/29/2010
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