Individual
NICOLE MARIA PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3021
(585) 275-2100
Mailing address
28 ANGELA VILLA LN, ROCHESTER, NY 14626-1766
(585) 749-7177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
066100
NY
Other
Enumeration date
09/28/2019
Last updated
06/28/2020
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