Irondequoit Internal Medicine

NPI 1245375708 - Specialist - 174400000X

NPI Details
NPI 1245375708
Enumeration Date 02/21/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARISA LARISA
Position OWNER
Phone (585) 338-2530
Fax (585) 338-7304
Practice Location
485 TITUS AVE STE H
ROCHESTER NY, 14617-3544, US
Phone (585) 338-2530
Fax (585) 338-7304
Business Location
485 TITUS AVE STE H
ROCHESTER NY, 14617-3544, US
Phone (585) 338-2530
Fax (585) 338-7304
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 180528
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According to our database, Irondequoit Internal Medicine NPI is 1245375708, taxonomy code is 174400000X and license number is 180528, license state is located at New York. Irondequoit Internal Medicine physically located at 485 Titus Ave Ste H, Rochester NY, 14617-3544. NPI Number 1033115704 has the healthcare provider type.

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1245375708 NPI number is provided on an as is basis without warranty of any kind. 1245375708 is maintained by the National Plan & Provider Enumeration System. The contents of Irondequoit Internal Medicine are for informational purposes only.