Individual
CAITLIN BERNICE MCCANN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 274-4569
(585) 276-1543
Mailing address
601 ELMWOOD AVE BOX 278984, ROCHESTER, NY 14642-0001
(585) 274-4569
(585) 276-1543
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
431220
NY
363LA2100X
Acute Care Nurse Practitioner
431220
NY
363LF0000X
Family Nurse Practitioner
Primary
431220
NY
Other
Enumeration date
01/23/2018
Last updated
06/29/2023
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