Irondequoit Internal Medicine in Rochester - Specialist
Irondequoit Internal Medicine - NPI 1245375708
Irondequoit Internal Medicine is a Specialist in Rochester, New York. Irondequoit Internal Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Irondequoit Internal Medicine is 1245375708. The last update date is 2020-08-22.
Irondequoit Internal Medicine's current location address is 485 Titus Ave Ste H, Rochester, New York. You can contact this provider via phone number 5853382530 and fax number 5853387304. The mailing address for Irondequoit Internal Medicine is 485 Titus Ave Ste H, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Irondequoit Internal Medicine |
|---|---|
| Address | 485 Titus Ave Ste H, Rochester, New York |
| Phone Number | 5853382530 |
| Fax Number | 5853387304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Khishchenko Larisa |
| Credentials | M.D. |
| Telephone Number | 5853382530 |
NPI Number Detail
| NPI Number | 1245375708 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 485 Titus Ave Ste H |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146173544 |
| Phone Number | 5853382530 |
| Fax Number | 5853387304 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 180528 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102621BJ | NY | PREFERRED CARE | |
| 1584647 | NY | -- |
Post Comment/ Review Below
What is the Irondequoit Internal Medicine's 1245375708?
The Irondequoit Internal Medicine's NPI (National Provider Identifier) Number is 1245375708. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Irondequoit Internal Medicine?
The Irondequoit Internal Medicine is physically situated at 485 Titus Ave Ste H, in the city of Rochester, state of NY, with the postal code 146173544.
What is Irondequoit Internal Medicine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Irondequoit Internal Medicine's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Irondequoit Internal Medicine receive its 1245375708 assignment from the Centers for Medicare & Medicaid Services?
The Irondequoit Internal Medicine was assigned its 1245375708 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Irondequoit Internal Medicine's details last updated?
The information pertaining to the Irondequoit Internal Medicine, including its address, specialty, and other details, was most recently updated on 2020-08-22.