Individual
ELLIE ANNE RECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RED CREEK DR STE 220, ROCHESTER, NY 14623-4281
(585) 486-0930
Mailing address
400 RED CREEK DR STE 220, ROCHESTER, NY 14623-4281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183413
CT
363LF0000X
Family Nurse Practitioner
Primary
354913
NY
Other
Enumeration date
04/23/2024
Last updated
08/12/2024
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