Healthcare Provider Details

I. General information

NPI: 1851210728
Provider Name (Legal Business Name): EMILY CUTAJAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 ALEXANDER ST
ROCHESTER NY
14607-4000
US

IV. Provider business mailing address

225 GREYSTONE LN APT 1
ROCHESTER NY
14618-5121
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-7770
  • Fax:
Mailing address:
  • Phone: 516-462-1998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: