Mr. Michael Pat Cornwall, NURSEPRACTITIONER
Mr. Michael Pat Cornwall, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in Fairport, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
4646 Nine Mile Point RdFairport, NY 14450-1163
Phone: (585) 377-0350
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Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F301165-1 (NY) |
|---|
Record details
| NPI number | 1427117381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2416 East Ave, Rochester, NY 14610-2525 |
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