Healthcare Provider Details

I. General information

NPI: 1508770041
Provider Name (Legal Business Name): LOUISA SHIFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 SOUTH AVE
ROCHESTER NY
14620-1009
US

IV. Provider business mailing address

598 E MAIN ST
BATAVIA NY
14020-2828
US

V. Phone/Fax

Practice location:
  • Phone: 585-325-5260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number771406
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: