National Provider Identifier

Irondequoit General Surgery, LLC

Irondequoit General Surgery, LLC is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 338-4945.

NPI 1306941273Rochester, NYSurgery Physician

Profile Overview

NPI
1306941273
Provider Type
Organization
Primary Specialty
Surgery Physician
Enumeration Date
September 14, 2006
Last Updated
April 29, 2009

Practice Location

  • 800 Carter St
  • Rochester, NY 14621-2604

Phone: (585) 338-4945

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1306941273
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Irondequoit General Surgery, LLC
Mailing Street Address
800 Carter St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2604
Mailing Country
US
Mailing Phone
(585) 338-4945
Mailing Fax
(585) 336-4895
Practice Street Address
800 Carter St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2604
Practice Country
US
Practice Phone
(585) 338-4945
Practice Fax
(585) 336-4895
Enumeration Date
September 14, 2006
Last Updated
April 29, 2009
Authorized Official Last Name
Kuranda
Authorized Official First Name
David
Authorized Official Title
Member
Authorized Official Phone
(585) 338-4945
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
M.D.
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)