Individual
GINA M DUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 473-2200
Mailing address
1870 WINTON RD S, ROCHESTER, NY 14618-3960
(585) 276-0830
(585) 424-4184
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309442
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309442-01
NY
Other
Enumeration date
12/19/2019
Last updated
07/03/2023
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