Individual
DANIELLE DIANE DISALVO PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
800 AYRAULT RD STE 100, FAIRPORT, NY 14450-8941
(585) 602-0440
(585) 341-8381
Mailing address
601 ELMWOOD AVE BOX 668, ROCHESTER, NY 14642-0001
(585) 602-0440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
744843
NY
176B00000X
Midwife
Primary
002207
NY
Other
Enumeration date
04/21/2023
Last updated
06/08/2023
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