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Irondequoit Internal Medicine
Specialist in Rochester, New York
NPI 1245375708

Irondequoit Internal Medicine is a Specialist based in Rochester, NY. Irondequoit Internal Medicine practices in Rochester, NY. The NPI Number for Irondequoit Internal Medicine is 1245375708 and holds a License No. 180528 (New York).

The current practice location address for Irondequoit Internal Medicine is 485 Titus Ave Ste H, Rochester, NY and can be reached out via phone at 585-338-2530 and via fax at 585-338-7304.

Location: 485 Titus Ave Ste H, Rochester, NY, 14617-3544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245375708
Provider Name
Irondequoit Internal Medicine
Credential
Provider Entity Type
Organization
Address
485 Titus Ave Ste H, Rochester, NY, 14617-3544
Phone Number
585-338-2530
Fax Number
585-338-7304
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102621BJ 01 NY PREFERRED CARE
01584647 05 NY
institution
Provider Business Practice Location Address Details
Address
485 Titus Ave Ste H
City
Rochester
State
New York
Zip
14617-3544
Phone Number
585-338-2530
Fax Number
585-338-7304
person
Provider Business Mailing Address Details
Address
485 Titus Ave Ste H
City
Rochester
State
New York
Zip
14617-3544
Phone Number
585-338-2530
Fax Number
585-338-7304
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
180528 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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