Individual
MARY C VASSILAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 784-2985
Mailing address
601 ELMWOOD AVE BOX 648, ROCHESTER, NY 14642-8648
(585) 275-2734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
310562
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310562
NY
Other
Enumeration date
06/13/2022
Last updated
07/22/2023
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