SearchNew York164W00000X

Khadijah Mcfadden

NPI 1649775560 · on the registry since 2018 · sole proprietor

Practice

Address
36 Spruce Ave
Rochester, NY 14611
Phone
(585) 802-6643

Additional practice sites

  • 166 Clairmount St, Rochester, NY
  • 108 Van Auker St, Rochester, NY

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-04

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