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NPI Code Detail

MEDICARE: YEVGENIY KISSINGER

MEDICARE: YEVGENIY KISSINGER
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
1163W00000XRegistered Nurse814434NY

General Provider Information

NPI Number : 1639024078
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEVGENIY KISSINGER
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14642-0002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14642-0002
Country : US
Telephone Number : 585-275-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ YEVGENIY KISSINGER ” Practice Location

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