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Mr. Michael Pat Cornwall, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Fairport, New York
NPI 1427117381

Michael Pat Cornwall is an Adult Health Nurse Practitioner based in Rochester, NY and is specialized in Adult Health. Michael Pat Cornwall practices in Fairport, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Michael Pat Cornwall is 1427117381 and holds a License No. F301165-1 (New York).

The current practice location address for Michael Pat Cornwall is 4646 Nine Mile Point Rd, Fairport, NY and can be reached out via phone at 585-377-0350.

Location: 4646 Nine Mile Point Rd, Fairport, NY, 14610-2525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427117381
Provider Name
Michael Pat Cornwall
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
4646 Nine Mile Point Rd, Fairport, NY, 14610-2525
Phone Number
585-377-0350
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500006563 01 RAILROAD PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
4646 Nine Mile Point Rd
City
Fairport
State
New York
Zip
14450-1163
Phone Number
585-377-0350
Fax Number
person
Provider Business Mailing Address Details
Address
4646 Nine Mile Point Rd
City
Fairport
State
New York
Zip
14450-1163
Phone Number
585-377-0350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F301165-1 (New York)
Definition
Definition to come...
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