National Provider Identifier
Brockport Internal Medicine, PC
Brockport Internal Medicine, PC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Brockport, NY and a listed phone number of (585) 637-2161.
Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1144434408
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 09, 2007
- Last Updated
- August 22, 2020
Practice Location
- 34 West Ave
- Brockport, NY 14420-1304
Phone: (585) 637-2161
Authorized Official
- Name
- Pankaj Garg
- Title
- President
- Credentials
- M.D.
- Phone
- (585) 637-2161
Specialties
- Internal Medicine Physician (207R00000X)
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Full Record
- NPI
- 1144434408
- Entity Type
- Organization
- Organization Name
- Brockport Internal Medicine, PC
- Mailing Street Address
- 34 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1304
- Mailing Country
- US
- Mailing Fax
- (585) 637-5819
- Practice Street Address
- 34 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1304
- Practice Country
- US
- Practice Phone
- (585) 637-2161
- Practice Fax
- (585) 637-5819
- Enumeration Date
- May 09, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Garg
- Authorized Official First Name
- Pankaj
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 637-2161
- Organization Subpart
- No
- Authorized Official Credential Text
- M.D.
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Internal Medicine Physician (207R00000X)