National Provider Identifier

Eva Petrow

Eva Petrow is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5681.

NPI 1962023234Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1962023234
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 28, 2020
Last Updated
April 28, 2020

Practice Location

  • 601 Elmwood Ave
  • Ac-5 General Medicine Clinic 696
  • Rochester, NY 14642

Phone: (585) 275-5681

Mailing Address

  • 1113 Orchard RD
  • Charlotte, VT 05445-9674

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1962023234
Entity Type
Individual
Last Name
Petrow
First Name
Eva
Mailing Street Address
1113 Orchard RD
Mailing City
Charlotte
Mailing State
VT
Mailing ZIP Code
05445-9674
Mailing Country
US
Mailing Phone
(802) 578-6626
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Ac-5 General Medicine Clinic 696
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 275-5681
Practice Fax
(585) 273-1041
Enumeration Date
April 28, 2020
Last Updated
April 28, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)