NANETTE D PHILLIS, MD, PLLC
Ambulatory Health at Clinton Ave, Rochester, NY

License number
New York 195745
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. ANDREW OPHARDT
Title: BUSINESS MANAGER
Phone: (585) 755-7878
Address
Address
2365 S Clinton Ave SUITE 100, Rochester, NY 14618
National Provider ID: 1588832984
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NANETTE D. PHILLIS, M.D., PLLC

Rochester, NY

Status:
Inactive
Doing business as:
NANETTE D. PHILLIS, M.D., PC
Inactive reason:
Dissolution
Registration:
Dec 14, 2005
Inactive since:
Dec 14, 2005
Addresses:
1815 S Clinton Ave SUITE 340, Rochester, NY 14618 (Physical)
2365 S Clinton Ave STE 100, Rochester, NY 14618 (Physical)
State ID:
3292532
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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