Individual
ELIZABETH A POWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 273-3760
(585) 273-1129
Mailing address
601 ELMWOOD AVE, BOX 679 T, ROCHESTER, NY 14642-0001
(585) 273-3760
(585) 273-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332223-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02693350
—
NY
Enumeration date
12/22/2005
Last updated
08/26/2011
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