National Provider Identifier

Susan Gore

Susan Gore is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 259-2652.

NPI 1972045961Rochester, NYSpecialist

Profile Overview

NPI
1972045961
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 08, 2016
Last Updated
November 08, 2016

Practice Location

  • 44 Brimley Mnr
  • Rochester, NY 14612-4456

Phone: (585) 259-2652

Specialties

  • Specialist (174400000X)
Full Record
NPI
1972045961
Entity Type
Individual
Last Name
Gore
First Name
Susan
Mailing Street Address
44 Brimley Mnr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-4456
Mailing Country
US
Mailing Phone
(585) 259-2652
Practice Street Address
44 Brimley Mnr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4456
Practice Country
US
Practice Phone
(585) 259-2652
Enumeration Date
November 08, 2016
Last Updated
November 08, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)