TAYLOR J INDIVERO

ROCHESTER, NY
NPI1700136777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2012-09-17
Last Update Date2014-03-04
Business Address
-- TAYLOR J INDIVERO PA
1415 PORTLAND AVE
ROCHESTER, NY 14621-3038
Phone number: 585-922-2906
Mailing Address
-- TAYLOR J INDIVERO PA
1415 PORTLAND AVE
ROCHESTER, NY 14621-3038
Phone number: 585-922-2906