National Provider Identifier
Digestive Center Of Western Nyi
Digestive Center Of Western Nyi is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 336-5119.
Profile Overview
- NPI
- 1508195157
- Provider Type
- Organization
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- December 10, 2009
- Last Updated
- December 10, 2009
Practice Location
- 1415 Portland Ave
- Rochester, NY 14621-3038
Phone: (585) 336-5119
Mailing Address
- 1415 Portland Avenue
- Rochester, NY 14621-3047
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1508195157
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Digestive Center Of Western Nyi
- Mailing Street Address
- 1415 Portland Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3047
- Mailing Country
- US
- Mailing Phone
- (585) 336-5119
- Mailing Fax
- (585) 336-5113
- Practice Street Address
- 1415 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 336-5119
- Practice Fax
- (585) 336-5113
- Enumeration Date
- December 10, 2009
- Last Updated
- December 10, 2009
- Authorized Official Last Name
- Goldstein
- Authorized Official First Name
- Jeffrey
- Authorized Official Middle Name
- A
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 336-5119
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)