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NPI Code Detail

MEDICARE: LAURA KRAGER HURWITZ

MEDICARE:   LAURA KRAGER HURWITZ
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
1174400000XSpecialist

General Provider Information

NPI Number : 1477815611
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KRAGER HURWITZ
Provider Business Mailing Address
First Line : 3255 BRIGHTON HENRIETTA TL RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-2806
Country : US
Telephone Number : 585-427-2977
Fax Number :
Provider Business Practice Location Address
First Line : 3255 BRIGHTON HENRIETTA TL RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-2806
Country : US
Telephone Number : 585-427-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/13/2012

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Directions to “ LAURA KRAGER HURWITZ ” Practice Location

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