MEDICARE: BRIGIT QUINN BORETTI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	RN2358823	MA
2	363LW0102X	Women's Health Nurse Practitioner	421771	NY

General Provider Information

NPI Number	:	1285314997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGIT QUINN BORETTI NP

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE BOX 668
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 CANAL VIEW BLVD STE 400
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2823
Country	:	US
Telephone Number	:	585-244-3430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	05/06/2025

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