Individual
GREGORY STANDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-1900
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN74522
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
733895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN74522
PA RN LICENSE
PA
Enumeration date
02/07/2023
Last updated
10/31/2024
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