National Provider Identifier

Rebecca Cravens Dirks, M.D.

Rebecca Cravens Dirks, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-2900.

NPI 1396193181Rochester, NYSurgery Physician

Profile Overview

NPI
1396193181
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
June 02, 2016
Last Updated
September 11, 2024

Practice Location

  • 1415 Portland Ave Ste 225
  • Rochester, NY 14621-3039

Phone: (585) 922-2900

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Surgery Physician (208600000X)
  • Surgery Physician (208600000X)
Full Record
NPI
1396193181
Entity Type
Individual
Last Name
Dirks
First Name
Rebecca
Middle Name
Cravens
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1415 Portland Ave Ste 225
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3039
Practice Country
US
Practice Phone
(585) 922-2900
Enumeration Date
June 02, 2016
Last Updated
September 11, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X), Surgery Physician (208600000X)