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NPI Code Detail

MEDICARE: CATRENA GANO

MEDICARE:   CATRENA  GANO
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
1164W00000XLicensed Practical Nurse345977-01NY

General Provider Information

NPI Number : 1922719889
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATRENA GANO
Provider Business Mailing Address
First Line : 120 PINE ST
Second Line :
City : EAST ROCHESTER
State : NY
Zip : 14445-1328
Country : US
Telephone Number : 585-773-7328
Fax Number :
Provider Business Practice Location Address
First Line : 120 PINE ST
Second Line :
City : EAST ROCHESTER
State : NY
Zip : 14445-1328
Country : US
Telephone Number : 585-773-7328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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Directions to “ CATRENA GANO ” Practice Location

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