Individual
AVERY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 HORIZON DR, ROCHESTER, NY 14625-1337
(315) 729-1374
Mailing address
139 HORIZON DR, ROCHESTER, NY 14625-1337
(315) 729-1374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329647
NY
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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