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General NPI Number Information
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NPI Number | 1144271214
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Entity Type | Individual
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Provider Name | KATHERINE K POLINO R.N., M.S., N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 905 CULVER RD HIGHLAND COMMUNITY OB GYN
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City | ROCHESTER
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State | NY
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Zip | 14609
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Country | US
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Telephone | 585-224-1737
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Fax | 585-341-8381
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Provider Business Mailing Address
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Address Line | 1000 SOUTH AVE HIGHLAND HOSPITAL OF ROCHESTER
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City | ROCHESTER
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State | NY
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Zip | 14620
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Country | US
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Telephone | 585-341-6732
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Fax | 585-341-8381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | F420024-1
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License Number State | NY
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