Provider Demographics
NPI:1962634402
Name:RHODY, BRIGITTE (CNM)
Entity Type:Individual
Prefix:MS
First Name:BRIGITTE
Middle Name:
Last Name:RHODY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 EAST AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1657
Mailing Address - Country:US
Mailing Address - Phone:585-737-0773
Mailing Address - Fax:585-271-5020
Practice Address - Street 1:1501 EAST AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1657
Practice Address - Country:US
Practice Address - Phone:585-737-0773
Practice Address - Fax:585-271-5020
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001340-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife