Individual
ALIANA BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 DEWEY AVE, ROCHESTER, NY 14616-3741
(585) 865-1550
Mailing address
482 LONG ACRE RD, ROCHESTER, NY 14621-1112
(585) 414-5540
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
1578640298
NY
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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