Individual
ALLISON D MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
318428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222
BLUE SHIELD GROUP ID
NY
01
—
430057616
RAILROAD MEDICARE
NY
01
—
CC0135
RAILROAD MEDICARE GRP ID
NY
01
—
G0189393590
BLUE CHOICE GROUP ID
NY
Enumeration date
07/24/2006
Last updated
07/05/2023
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