MICHAEL PAT CORNWALL

FAIRPORT, NY
NPI1427117381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F301165-1)
Enumeration Date2006-12-07
Last Update Date2007-07-08
Business Address
Mr. MICHAEL PAT CORNWALL nurse practitioner
4646 NINE MILE POINT RD
FAIRPORT, NY 14450-1163
Phone number: 585-377-0350
Mailing Address
Mr. MICHAEL PAT CORNWALL nurse practitioner
2416 EAST AVE
ROCHESTER, NY 14610-2525
Phone number: 585-442-4156
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