Individual
ELIZABETH SCHWENNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 359-2847
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1469
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18176
NY
363A00000X
Physician Assistant
Primary
018176
NY
Other
Enumeration date
11/18/2014
Last updated
06/28/2023
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