National Provider Identifier
Michael Pat Cornwall, NURSE PRACTITIONER
Michael Pat Cornwall, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Fairport, NY and a listed phone number of (585) 377-0350.
Profile Overview
- NPI
- 1427117381
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- December 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 4646 Nine Mile Point RD
- Fairport, NY 14450-1163
Phone: (585) 377-0350
Mailing Address
- 2416 East Ave
- Rochester, NY 14610-2525
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1427117381
- Entity Type
- Individual
- Last Name
- Cornwall
- First Name
- Michael
- Middle Name
- Pat
- Name Prefix
- Mr.
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 2416 East Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-2525
- Mailing Country
- US
- Mailing Phone
- (585) 442-4156
- Practice Street Address
- 4646 Nine Mile Point RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1163
- Practice Country
- US
- Practice Phone
- (585) 377-0350
- Enumeration Date
- December 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 500006563 (Railroad Provider Number)