Healthcare Provider Details

I. General information

NPI: 1578475604
Provider Name (Legal Business Name): MRS. CATERINA ALESSIO-MALDONADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ENGLISH RD
ROCHESTER NY
14616-2028
US

IV. Provider business mailing address

25 OPAL AVE
ROCHESTER NY
14626-4353
US

V. Phone/Fax

Practice location:
  • Phone: 585-966-3672
  • Fax: 585-581-8103
Mailing address:
  • Phone: 585-966-3672
  • Fax: 585-581-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number876426
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: