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Individual

CATHERINE A HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 ELMWOOD AVENUE, ROCHESTER, NY 14642
(585) 276-4100
(585) 276-2497
Mailing address
601 ELMWOOD AVENUE, BOX 665, ROCHESTER, NY 14642
(585) 276-4100
(585) 276-2497

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
245612
NY
207XX0801X
Orthopaedic Trauma Physician
Primary
2456121
NY
207XX0801X
Orthopaedic Trauma Physician
MD40824
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
620476822
TAX ID
Enumeration date
06/27/2006
Last updated
07/06/2023
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