National Provider Identifier

Community Medical Services, PC

Community Medical Services, PC is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 545-7218.

NPI 1467090761Rochester, NYFamily Medicine Physician

Profile Overview

NPI
1467090761
Provider Type
Organization
Primary Specialty
Family Medicine Physician
Enumeration Date
December 17, 2019
Last Updated
December 17, 2019

Practice Location

  • Community Medical Services, PC
  • 39 Delevan Street
  • Rochester, NY 14605

Phone: (585) 545-7218

Mailing Address

  • C/O Trillium Health, Inc.
  • 259 Monroe Avenue, Suite 100
  • Rochester, NY 14607

Authorized Official

Name
Dr. Robert M Biernbaum
Title
Sole Shareholder
Credentials
DO
Phone
(585) 210-4238

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1467090761
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Community Medical Services, PC
Mailing Street Address
C/O Trillium Health, Inc.
Mailing Address Line 2
259 Monroe Avenue, Suite 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607
Mailing Country
US
Mailing Phone
(585) 545-7218
Practice Street Address
Community Medical Services, PC
Practice Address Line 2
39 Delevan Street
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605
Practice Country
US
Practice Phone
(585) 545-7218
Enumeration Date
December 17, 2019
Last Updated
December 17, 2019
Authorized Official Last Name
Biernbaum
Authorized Official First Name
Robert
Authorized Official Middle Name
M
Authorized Official Title
Sole Shareholder
Authorized Official Phone
(585) 210-4238
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
DO
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 17, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)