Individual
BRENTON PETTERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-5083
(585) 275-0707
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-5083
(585) 275-0707
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382863
NY
Other
Enumeration date
06/20/2018
Last updated
06/30/2023
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