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MISS CELIA ANDREA MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1425 PORTLAND AVE, NEUROLOGY DEPARTMENT, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
108 MERRILL ST, ROCHESTER, NY 14615-2324
(585) 576-5936

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337065
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
662127438
DRIVERS LICENSE
NY
Enumeration date
11/15/2012
Last updated
11/15/2012
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