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Individual

HANANE MOUHIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2541
Mailing address
5499 LAKE RD S, BROCKPORT, NY 14420-9754
(917) 673-9232

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401880
NY

Other

Enumeration date
07/06/2012
Last updated
01/28/2016
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