National Provider Identifier
Bryan J Stanistreet, MD
Bryan J Stanistreet, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 225-1700.
Profile Overview
- NPI
- 1598021677
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 03, 2012
- Last Updated
- September 02, 2020
Practice Location
- 3101 W Ridge RD Bldg C
- Rochester, NY 14626
Phone: (585) 225-1700
Mailing Address
- 3101 W Ridge RD Bldg C
- Rochester, NY 14626-3249
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1598021677
- Entity Type
- Individual
- Last Name
- Stanistreet
- First Name
- Bryan
- Middle Name
- J
- Credential
- MD
- Mailing Street Address
- 3101 W Ridge RD Bldg C
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3249
- Mailing Country
- US
- Mailing Phone
- (585) 225-1700
- Mailing Fax
- (585) 225-1439
- Practice Street Address
- 3101 W Ridge RD Bldg C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 225-1700
- Practice Fax
- (585) 225-1439
- Enumeration Date
- April 03, 2012
- Last Updated
- September 02, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 04450506 (NY)