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NPI Code Detail

MEDICARE: ALEXIS ZWETSCH-MUTCH

MEDICARE: ALEXIS ZWETSCH-MUTCH
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
1101YM0800XMental Health CounselorNY
21041C0700XClinical Social Worker098765NY

General Provider Information

NPI Number : 1891335469
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ZWETSCH-MUTCH
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 NORTH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1075
Country : US
Telephone Number : 585-394-0530
Fax Number : 585-394-3872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2020
Last Update Date : 06/13/2025

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Directions to “ ALEXIS ZWETSCH-MUTCH ” Practice Location

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