Healthcare Provider Details

I. General information

NPI: 1801805098
Provider Name (Legal Business Name): GEORGIA ANN LOWMASTER CSONT NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH AVE
ROCHESTER NY
14620-2733
US

IV. Provider business mailing address

16 BENT OAK TRL
FAIRPORT NY
14450-8950
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-6734
  • Fax:
Mailing address:
  • Phone: 585-425-2812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number350170
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberF-350170
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code364SN0000X
TaxonomyNeonatal Clinical Nurse Specialist
License NumberF-350170
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: