Individual
MRS. LISA KINSELLA MILITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
180 RIDGEWAY AVE, ROCHESTER, NY 14615-3636
(585) 458-5734
Mailing address
98 BELCODA DR, ROCHESTER, NY 14617-2957
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381781
NY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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