Provider Demographics
NPI:1699162800
Name:NP FAMILY CARE OF ROCHESTER, PLLC
Entity type:Organization
Organization Name:NP FAMILY CARE OF ROCHESTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:585-305-7934
Mailing Address - Street 1:8 S PITTSFORD HILL LN
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2893
Mailing Address - Country:US
Mailing Address - Phone:585-305-7934
Mailing Address - Fax:
Practice Address - Street 1:1815 S CLINTON AVE STE 440
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5719
Practice Address - Country:US
Practice Address - Phone:585-305-7934
Practice Address - Fax:585-287-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-26
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03369862Medicaid