Individual
DANIELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5151
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308949
NY
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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