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Individual

KRYSTOL JOHNSTON O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4302 GATEWAY DR, GENESEO, NY 14454-9449
(585) 295-6760
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0098-00925
NC
207Q00000X
Family Medicine Physician
Primary
332287
NY

Other

Enumeration date
01/05/2006
Last updated
01/10/2025
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