Individual
CATHERINE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,MS, WHNP
Contact information
Practice address
601 ELMWOOD AVE, BOX 685, ROCHESTER, NY 14642-0001
(585) 276-3212
(585) 242-8707
Mailing address
250 MOUL RD, HILTON, NY 14468-9534
(585) 392-3478
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
420282
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
420282-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00092637001
BC/BS OF WESTERN NEW YORK
NY
01
—
00092637002
BC/BS OF WESTERN NEW YORK
NY
05
—
02080904
—
NY
01
—
109543CK
PREFERRED CARE
NY
01
—
500017834
RAILROAD
NY
01
—
7599369
GHI
NY
01
—
P019420282
BLUE CHOICE
NY
Enumeration date
04/18/2006
Last updated
07/05/2023
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