National Provider Identifier

Burgundy Rose McCoy, NP

Burgundy Rose McCoy, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Bergen, NY and a listed phone number of (585) 494-1300.

NPI 1447826896Bergen, NYFamily Nurse Practitioner

Profile Overview

NPI
1447826896
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 27, 2021
Last Updated
September 23, 2021

Practice Location

  • 6966 W Bergen RD
  • Bergen, NY 14416-9743

Phone: (585) 494-1300

Mailing Address

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

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1447826896
Entity Type
Individual
Last Name
McCoy
First Name
Burgundy
Middle Name
Rose
Credential
NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 494-1300
Mailing Fax
(585) 494-1132
Practice Street Address
6966 W Bergen RD
Practice City
Bergen
Practice State
NY
Practice ZIP Code
14416-9743
Practice Country
US
Practice Phone
(585) 494-1300
Practice Fax
(585) 494-1132
Enumeration Date
May 27, 2021
Last Updated
September 23, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)