Individual
JEAN BOHOMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-5466
(585) 760-5467
Mailing address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-5466
(585) 760-5467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02564923
—
NY
Enumeration date
09/20/2006
Last updated
08/26/2011
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