Provider Demographics
NPI:1649656745
Name:MAJCHRZAK, IRENE (RN, MS)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:MAJCHRZAK
Suffix:
Gender:F
Credentials:RN, MS
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:A
Other - Last Name:PORZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 SIMMONS RD
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:NY
Mailing Address - Zip Code:14530-9535
Mailing Address - Country:US
Mailing Address - Phone:585-237-2527
Mailing Address - Fax:
Practice Address - Street 1:1 SOUTH WASHINGTON ST
Practice Address - Street 2:200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14614
Practice Address - Country:US
Practice Address - Phone:585-454-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171828163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse