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Contact Information

MARY D NOWAK
110 CRITTENDEN BLVD
ROCHESTER, NY14620
 Phone: 585-275-5830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY D NOWAK · (Female)

NPI # 1306517644
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2021
Last updated 07/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 348514
Hospital affiliation(s)
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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