National Provider Identifier

Eric Thomas Mundt

Eric Thomas Mundt is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 317-0683.

NPI 1427525633Rochester, NYPhysician Assistant

Profile Overview

NPI
1427525633
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 25, 2018
Last Updated
July 03, 2023

Practice Location

  • 393 Pemberton Road
  • Rochester, NY 14622

Phone: (585) 317-0683

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • emundt195654@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1427525633
Entity Type
Individual
Last Name
Mundt
First Name
Eric
Middle Name
Thomas
Name Prefix
Mr.
Mailing Street Address
393 Pemberton Road
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622
Mailing Country
US
Mailing Phone
(585) 317-0683
Practice Street Address
393 Pemberton Road
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622
Practice Country
US
Practice Phone
(585) 317-0683
Enumeration Date
October 25, 2018
Last Updated
July 03, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
August 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)