Individual
BETHANY MAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S ED.
Contact information
Practice address
1000 ELMWOOD AVE STE 400, ROCHESTER, NY 14620-3042
(585) 271-0680
Mailing address
315 MOSLEY RD, ROCHESTER, NY 14616-2947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
608308
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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