Healthcare Provider Details

I. General information

NPI: 1306918016
Provider Name (Legal Business Name): BERNADETTE STRADA RNC, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 SOUTH AVE
ROCHESTER NY
14620-2740
US

IV. Provider business mailing address

990 SOUTH AVE
ROCHESTER NY
14620-2740
US

V. Phone/Fax

Practice location:
  • Phone: 585-232-3210
  • Fax: 585-232-4657
Mailing address:
  • Phone: 585-232-3210
  • Fax: 585-232-4657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberF420237-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: