National Provider Identifier

Jefferson Family Medicine

Jefferson Family Medicine is listed in the NPPES registry with a primary specialty of Primary Care Clinic/Center in Rochester, NY and a listed phone number of (585) 463-3870.

NPI 1578732608Rochester, NYPrimary Care Clinic/Center

Profile Overview

NPI
1578732608
Provider Type
Organization
Primary Specialty
Primary Care Clinic/Center
Enumeration Date
February 22, 2008
Last Updated
February 22, 2008

Practice Location

  • 924 Jefferson Ave
  • Rochester, NY 14611-3702

Phone: (585) 463-3870

Specialties

  • Primary Care Clinic/Center (261QP2300X)
Full Record
NPI
1578732608
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Jefferson Family Medicine
Mailing Street Address
924 Jefferson Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3702
Mailing Country
US
Mailing Phone
(585) 463-3870
Mailing Fax
(585) 463-3873
Practice Street Address
924 Jefferson Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3702
Practice Country
US
Practice Phone
(585) 463-3870
Practice Fax
(585) 463-3873
Enumeration Date
February 22, 2008
Last Updated
February 22, 2008
Authorized Official Last Name
Bayer
Authorized Official First Name
William
Authorized Official Middle Name
H
Authorized Official Title
Physician
Authorized Official Phone
(585) 463-3870
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
M.D.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Primary Care Clinic/Center (261QP2300X)
Other Identifiers
01038260 (NY)