Individual
MARY CAROL KRETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7017
(585) 723-7224
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 723-7017
(585) 723-7224
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
025677
NY
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
431872
NY
Other
Enumeration date
09/04/2020
Last updated
11/30/2020
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