Individual
COURTNEY ELIZABETH HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-2575
Mailing address
55 MILL ST, WATERLOO, NY 13165-1640
(315) 719-7974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
353862
NY
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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