NPI 1144979154

Ivan Derrick Atkins

Practitioner Driver Rochester, NY

Practice location

Address: 50 Dodge St, Rochester, NY 14606-1523
Phone: (585) 576-0068
Mailing address: 50 Dodge St APT B, Rochester, NY 14606-1523

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1144979154
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2022
Record last updated: 18 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.