person
Taylor J Indivero, PA
Surgical Physician Assistant in Rochester, New York
NPI 1700136777

Taylor J Indivero is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Taylor J Indivero practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Taylor J Indivero is 1700136777 and holds a License No. (New York).

The current practice location address for Taylor J Indivero is 1415 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-2906 and via fax at 585-922-2951.

Location: 1415 Portland Ave, Rochester, NY, 14621-3038
person
Provider Profile Details
NPI Number
1700136777
Provider Name
Taylor J Indivero
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1415 Portland Ave, Rochester, NY, 14621-3038
Phone Number
585-922-2906
Fax Number
585-922-2951
Provider Enumeration Date
09/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03726107 05 NY
institution
Provider Business Practice Location Address Details
Address
1415 Portland Ave
City
State
Zip
14621-3038
Phone Number
585-922-2906
Fax Number
585-922-2951
person
Provider Business Mailing Address Details
Address
1415 Portland Ave
City
State
Zip
14621-3038
Phone Number
585-922-2906
Fax Number
585-922-2951
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(New York)
Definition
Definition to come...
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