Healthcare Provider Details

I. General information

NPI: 1033390885
Provider Name (Legal Business Name): WILLIAM MICHAEL GASSMANN MS RN NPP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COULTER RD
CLIFTON SPRINGS NY
14432-1122
US

IV. Provider business mailing address

315 SCIENCE PARKWAY UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL
ROCHESTER NY
14620
US

V. Phone/Fax

Practice location:
  • Phone: 315-462-1050
  • Fax: 315-462-0145
Mailing address:
  • Phone: 585-279-7825
  • Fax: 585-256-1984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number401059
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4929851
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: