National Provider Identifier
Carl Richard Magnussen, MD
Carl Richard Magnussen, 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) 341-6867.
Profile Overview
- NPI
- 1639125651
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 25, 2006
- Last Updated
- September 11, 2025
Practice Location
- 1000 S Ave
- Rochester, NY 14620-2733
Phone: (585) 341-6867
Mailing Address
- Box 57
- 1000 S Ave
- Rochester, NY 14620-2733
Specialties
- Internal Medicine Physician (207R00000X)
- Allergy & Immunology (Internal Medicine) Physician (207RA0201X)
- Infectious Disease Physician (207RI0200X)
Full Record
- NPI
- 1639125651
- Entity Type
- Individual
- Last Name
- Magnussen
- First Name
- Carl
- Middle Name
- Richard
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- Box 57
- Mailing Address Line 2
- 1000 S Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2733
- Mailing Country
- US
- Mailing Phone
- (585) 341-6867
- Mailing Fax
- (585) 341-8205
- Practice Street Address
- 1000 S Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 341-6867
- Practice Fax
- (585) 341-8205
- Enumeration Date
- May 25, 2006
- Last Updated
- September 11, 2025
- Sex
- Male
- Sole Proprietor
- X
- Taxonomies
- Internal Medicine Physician (207R00000X), Allergy & Immunology (Internal Medicine) Physician (207RA0201X), Infectious Disease Physician (207RI0200X)
- Other Identifiers
- 00456271 (NY), 1007058Y (NY, Preferred Care)