Individual
MS. AGNES JULIA PULITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3543
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3543
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303467-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04403518
—
NY
Enumeration date
08/05/2006
Last updated
11/14/2016
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