National Provider Identifier
Blossom Road Medicine, PLLC
Blossom Road Medicine, PLLC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 482-1141.
Source: public NPPES record, last updated June 14, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1376948893
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- October 27, 2014
- Last Updated
- June 14, 2023
Practice Location
- 780 Blossom RD
- Rochester, NY 14610-1914
Phone: (585) 482-1141
Authorized Official
- Name
- MS. Sandra Boehlert
- Title
- Physician
- Credentials
- MD
- Phone
- (585) 482-1141
Specialties
- Internal Medicine Physician (207R00000X)
Browse Similar Providers
See more providers in the Internal Medicine classification in Rochester, NY.
Organization Overview
Blossom Road Medicine, PLLC, also listed as Blossom Road Medicine, is a Rochester, New York medical practice. New York State Department of Health materials include the organization in the Finger Lakes Performing Provider System network as a practitioner primary care provider; the same state source describes FLPPS as a regional DSRIP network spanning 13 Finger Lakes counties. Dun & Bradstreet lists Sandra Boehlert as the organization’s key principal, and URochester Medicine lists Sandra Boehlert, M.D. in internal medicine with Accountable Health Partners participation.
Full Record
- NPI
- 1376948893
- Entity Type
- Organization
- Organization Name
- Blossom Road Medicine, PLLC
- Mailing Street Address
- 780 Blossom RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-1914
- Mailing Country
- US
- Mailing Phone
- (585) 482-1141
- Mailing Fax
- (585) 270-4153
- Practice Street Address
- 780 Blossom RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-1914
- Practice Country
- US
- Practice Phone
- (585) 482-1141
- Practice Fax
- (585) 270-4153
- Enumeration Date
- October 27, 2014
- Last Updated
- June 14, 2023
- Authorized Official Last Name
- Boehlert
- Authorized Official First Name
- Sandra
- Authorized Official Title
- Physician
- Authorized Official Phone
- (585) 482-1141
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- June 14, 2023
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 1457343972 (NY, NPI 1)