National Provider Identifier

Robin Ann Petruzzo, NP

Robin Ann Petruzzo, NP is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4882.

NPI 1356933535Rochester, NYGerontology Nurse Practitioner

Profile Overview

NPI
1356933535
Provider Type
Individual
Primary Specialty
Gerontology Nurse Practitioner
Enumeration Date
February 09, 2021
Last Updated
February 09, 2021

Practice Location

  • 1455 E Ridge RD
  • Rochester, NY 14621-2006

Phone: (585) 922-4882

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Gerontology Nurse Practitioner (363LG0600X)
Full Record
NPI
1356933535
Entity Type
Individual
Last Name
Petruzzo
First Name
Robin
Middle Name
Ann
Credential
NP
Provider Other Last Name
Soares
Provider Other First Name
Robin
Provider Other Middle Name
Ann
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-4882
Mailing Fax
(585) 922-5822
Practice Street Address
1455 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2006
Practice Country
US
Practice Phone
(585) 922-4882
Practice Fax
(585) 922-5822
Enumeration Date
February 09, 2021
Last Updated
February 09, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 09, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gerontology Nurse Practitioner (363LG0600X)