National Provider Identifier

Michael Loeb, MD

Michael Loeb, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Canandaigua, NY and a listed phone number of (585) 396-4340.

NPI 1306091558Canandaigua, NYFamily Medicine Physician

Profile Overview

NPI
1306091558
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
December 01, 2008
Last Updated
March 09, 2022

Practice Location

  • 3062 County Complex Dr
  • Canandaigua, NY 14424

Phone: (585) 396-4340

Mailing Address

  • 3400 Monroe Ave
  • Rochester, NY 14618-4725

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1306091558
Entity Type
Individual
Last Name
Loeb
First Name
Michael
Credential
MD
Mailing Street Address
3400 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-4725
Mailing Country
US
Mailing Phone
(585) 203-1056
Practice Street Address
3062 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424
Practice Country
US
Practice Phone
(585) 396-4340
Enumeration Date
December 01, 2008
Last Updated
March 09, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
March 09, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)