Provider Demographics
NPI:1801949896
Name:BREITUNG, PATRICIA Y (MS, ANP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:Y
Last Name:BREITUNG
Suffix:
Gender:F
Credentials:MS, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ARMSTRONG RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-4265
Mailing Address - Country:US
Mailing Address - Phone:585-723-8129
Mailing Address - Fax:
Practice Address - Street 1:2150 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2618
Practice Address - Country:US
Practice Address - Phone:585-256-0555
Practice Address - Fax:585-256-0583
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304395363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health