Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F001877 | NY |
N | 363LA2200X | Nurse Practitioner - Adult Health | F305424-1 | NY |
NPI | 1164735320 |
---|---|
Provider Name | Ms. Davya S. Brody |
First Address | Rochester, NY 14617-4636 |
Second Address | Rochester, NY 14605-2131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2010 |
Last Update Date | 19/11/2019 |