| Assanatu Iddrissu, CNM | |
|
1425 Portland Ave, Rochester, NY 14621-3001 | |
| (585) 922-4000 | |
| Not Available |
| Full Name | Assanatu Iddrissu |
|---|---|
| Gender | Female |
| Speciality | Midwife |
| Location | 1425 Portland Ave, Rochester, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700166568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 332332 (Ohio) | Secondary |
| 176B00000X | Midwife | 001856 (New York) | Primary |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Entity Name | Open Door Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285893719 PECOS PAC ID: 7113835380 Enrollment ID: O20150224001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Assanatu Iddrissu, CNM 1100 Ring Neck Dr, Blacklick, OH 43004-7035 Ph: (614) 316-2702 | Assanatu Iddrissu, CNM 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-4000 |