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Individual

MR. WARREN ELLIOTT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
42 AUSTIN ST, ROCHESTER, NY 14606-1708
(585) 469-7568
Mailing address
34 IRONDEQUOIT ST, ROCHESTER, NY 14605-1523
(585) 481-5728

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228582388
NY
Enumeration date
09/28/2022
Last updated
09/28/2022
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