Individual
BEVERLY STROHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
800 CARTER ST, ROCHESTER, NY 14621-2604
(585) 922-4136
(585) 922-5761
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
Enumeration date
04/18/2006
Last updated
11/14/2019
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