MEDICARE: ROSEMARY AWUOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	310711-1	NY

General Provider Information

NPI Number	:	1811338874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEMARY AWUOR

Provider Business Mailing Address
First Line	:	240 GOODMAN ST S
Second Line	:	APT 601
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2704
Country	:	US
Telephone Number	:	585-939-5923
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 GOODMAN ST S
Second Line	:	APT 601
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2704
Country	:	US
Telephone Number	:	585-939-5923
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	ROSEMARY AWUOR
Credential	:
Telephone Number	:	585-939-5923

Provider Enumeration Date	:	07/07/2013
Last Update Date	:	07/07/2013

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