Provider Demographics
NPI:1023361516
Name:OZAROWSKY, AMI RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:RENEE
Last Name:OZAROWSKY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 BUCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3149
Mailing Address - Country:US
Mailing Address - Phone:585-615-9556
Mailing Address - Fax:
Practice Address - Street 1:309 BUCK HILL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3149
Practice Address - Country:US
Practice Address - Phone:585-615-9556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-21
Last Update Date:2012-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311832164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse