Individual
MR. CALEB DAVID BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 341-8130
Mailing address
5697 BUFFALO RD, CHURCHVILLE, NY 14428-9755
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
717588
NY
207R00000X
Internal Medicine Physician
310959
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310959
NY
Other
Enumeration date
09/15/2022
Last updated
07/22/2023
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