Individual provider · Type 1 NPI

Mary M. Reyngoudt

Specialist · Fairport, NY

NPI number 1215588322 Active

Practice location

149 N Main St
Fairport, NY 14450-1434

Call (585) 377-2230 Map

Fax (585) 377-2243

Mailing address

71 Gilman Rd
Churchville, NY 14428-9325

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215588322

Mary M. Reyngoudt's National Provider Identifier is 1215588322, issued on Sep 20, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Sep 20, 2019.