National Provider Identifier

Ian St. John Newcomb

Ian St. John Newcomb is listed in the NPPES registry with a primary specialty of Driver in Rochester, NY and a listed phone number of (585) 469-9582.

NPI 1467136705Rochester, NYDriver

Profile Overview

NPI
1467136705
Provider Type
Individual
Primary Specialty
Driver
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023

Practice Location

  • 2220 S Clinton Ave
  • Rochester, NY 14618-2622

Phone: (585) 469-9582

Specialties

  • Driver (172A00000X)
Full Record
NPI
1467136705
Entity Type
Individual
Last Name
Newcomb
First Name
Ian
Middle Name
St. John
Mailing Street Address
2220 S Clinton Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2622
Mailing Country
US
Mailing Phone
(585) 469-9582
Practice Street Address
2220 S Clinton Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2622
Practice Country
US
Practice Phone
(585) 469-9582
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
June 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Driver (172A00000X)