Healthcare Provider Details

I. General information

NPI: 1306412291
Provider Name (Legal Business Name): ALLYSON ZORNOW NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLYSON SALMON NP

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 07/07/2023
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

52 ALDWICK RISE
FAIRPORT NY
14450-3832
US

V. Phone/Fax

Practice location:
  • Phone: 585-474-6206
  • Fax:
Mailing address:
  • Phone: 585-474-6206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number432030
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number432030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: