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Grant Avery
NPI 1538572292 · on the registry since 2014 · sole proprietor
Practice
- Address
- 900 Genesee Park Blvd
Rochester, NY 14619 - Phone
- (585) 217-3524
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York