Individual
BETH A UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, BOX 287, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, BOX 287, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007481
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126-RGH
—
NY
05
—
03154198
—
NY
Enumeration date
05/29/2008
Last updated
05/20/2021
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