Healthcare Provider Details

I. General information

NPI: 1194936153
Provider Name (Legal Business Name): KATE ELIZABETH GARFIELD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 STRONG RD
VICTOR NY
14564
US

IV. Provider business mailing address

31 HOMER ST
ROCHESTER NY
14610-1723
US

V. Phone/Fax

Practice location:
  • Phone: 315-727-9426
  • Fax:
Mailing address:
  • Phone: 315-727-9426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number5434951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: