Individual
ASIA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 WEST AVE STE 6A, BROCKPORT, NY 14420-1225
(585) 888-4000
Mailing address
122 WEST AVE STE 6A, BROCKPORT, NY 14420-1225
(585) 888-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402181
NY
Other
Enumeration date
06/29/2017
Last updated
06/24/2025
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