Individual
ELYSE CLARE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BIRCH CRES, ROCHESTER, NY 14607-1005
(585) 794-3185
Mailing address
19 BIRCH CRES, ROCHESTER, NY 14607-1005
(585) 794-3185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
358624
NY
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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