NICHOLE S SUPPLE

ROCHESTER, NY
NPI1871805341
Former NameNICHOLE S DEHOLLANDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  274423)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP01965)
Enumeration Date2010-07-13
Last Update Date2014-10-03
Business Address
-- NICHOLE S SUPPLE DO
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4000
Mailing Address
-- NICHOLE S SUPPLE DO
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4000