Healthcare Provider Details

I. General information

NPI: 1457398331
Provider Name (Legal Business Name): ROSEMARY JANOFSKY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 PORTLAND AVE SUITE 400
ROCHESTER NY
14621-3038
US

IV. Provider business mailing address

1415 PORTLAND AVE SUITE 400
ROCHESTER NY
14621-3038
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-4200
  • Fax: 585-922-4922
Mailing address:
  • Phone: 585-922-4200
  • Fax: 585-922-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1010
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001010
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: