HOWARD REVANS

ROCHESTER, NY
NPI1669173191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  030642)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-03-13
Last Update Date2023-10-26
Business Address
HOWARD REVANS
1555 LONG POND RD
ROCHESTER, NY 14626-4164
Phone number: 585-723-7070
Mailing Address
HOWARD REVANS
44 POPPY ST
ROCHESTER, NY 14617-2615
Phone number: 585-683-8496
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