Neuderfer, Judith Simmons

Neuderfer, Judith Simmons is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Neuderfer, Judith Simmons can be contacted via phone (585) 922-2575.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Phone: (585) 922-2575
Fax: (585) 922-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 380076 New York

Profile Details

NPI number 1083652200
LBN Legal business name Neuderfer, Judith Simmons
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083652200 NPPES
New York MEDICAID 02565222

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