Individual
DESARAI MARIE CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5200
(315) 787-5221
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351061
NY
Other
Enumeration date
02/16/2023
Last updated
03/16/2023
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