MEDICARE: MS. MARILYN ANN RICH 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	364SF0001X	Family Health Clinical Nurse Specialist	332733	NY

General Provider Information

NPI Number	:	1861658452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARILYN ANN RICH NP

Provider Business Mailing Address
First Line	:	700 ASHFORD WAY
Second Line	:
City	:	VICTOR
State	:	NY
Zip	:	14564-9766
Country	:	US
Telephone Number	:	585-742-3139
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 ASHFORD WAY
Second Line	:
City	:	VICTOR
State	:	NY
Zip	:	14564-9766
Country	:	US
Telephone Number	:	585-742-3139
Fax Number	:

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

Provider Enumeration Date	:	08/03/2008
Last Update Date	:	03/08/2026

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