National Provider Identifier

Rochester Medical Weight Loss, P.C

Rochester Medical Weight Loss, P.C is listed in the NPPES registry with a primary specialty of Legal Medicine in Rochester, NY and a listed phone number of (585) 467-9790.

NPI 1083027296Rochester, NYLegal Medicine

Profile Overview

NPI
1083027296
Provider Type
Organization
Primary Specialty
Legal Medicine
Enumeration Date
June 05, 2014
Last Updated
June 25, 2014

Practice Location

  • 1299 Portland Ave
  • Suite 7
  • Rochester, NY 14621-2730

Phone: (585) 467-9790

Specialties

  • Legal Medicine (173000000X)
Full Record
NPI
1083027296
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Rochester Medical Weight Loss, P.C
Mailing Street Address
1299 Portland Ave
Mailing Address Line 2
Suite 7
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2730
Mailing Country
US
Mailing Phone
(585) 467-9790
Mailing Fax
(585) 467-9798
Practice Street Address
1299 Portland Ave
Practice Address Line 2
Suite 7
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2730
Practice Country
US
Practice Phone
(585) 467-9790
Practice Fax
(585) 467-9798
Enumeration Date
June 05, 2014
Last Updated
June 25, 2014
Authorized Official Last Name
Masood
Authorized Official First Name
Gule-Rana
Authorized Official Title
Owner
Authorized Official Phone
(585) 467-9790
Organization Subpart
No
Authorized Official Name Prefix Text
Mrs.
Authorized Official Credential Text
MD
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Legal Medicine (173000000X)
Other Identifiers
01649816 (NY)