National Provider Identifier
Elizabeth Corbett Renner
Elizabeth Corbett Renner is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 288-1260.
Profile Overview
- NPI
- 1841471117
- Provider Type
- Organization
- Primary Specialty
- Specialist
- Enumeration Date
- November 15, 2007
- Last Updated
- May 07, 2013
Practice Location
- 675 Atlantic Ave
- Rochester, NY 14609-7421
Phone: (585) 288-1260
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1841471117
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Elizabeth Corbett Renner
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 675 Atlantic Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-7421
- Mailing Country
- US
- Mailing Phone
- (585) 288-1260
- Mailing Fax
- (585) 654-6053
- Practice Street Address
- 675 Atlantic Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-7421
- Practice Country
- US
- Practice Phone
- (585) 288-1260
- Practice Fax
- (585) 654-6053
- Enumeration Date
- November 15, 2007
- Last Updated
- May 07, 2013
- Authorized Official Last Name
- Corbett-Renner
- Authorized Official First Name
- Elizabeth
- Authorized Official Middle Name
- A
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 288-1260
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- PT
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)