Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 421315 | NY |
NPI | 1013426808 |
---|---|
Provider Name | Kathleen A Sugrue |
First Address | Rochester, NY 14617-5504 |
Second Address | Henrietta, NY 14467-9312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2017 |
Last Update Date | 20/02/2019 |