Individual
KATHLEEN MANCIOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 JULIET CRES, ROCHESTER, NY 14612-3601
(585) 414-3560
Mailing address
35 JULIET CRES, ROCHESTER, NY 14612-3601
(585) 414-3560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67001685
NY
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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