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Individual

SAMANTHA GAETANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 746-4366
Mailing address
254 FIELDING RD, ROCHESTER, NY 14626-2125
(585) 746-4366

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F340822
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4015991
NY

Other

Enumeration date
07/30/2013
Last updated
10/06/2022
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