National Provider Identifier

Dermatology And Cosmetic Practice Of Rochester PLLC

Dermatology And Cosmetic Practice Of Rochester PLLC is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 544-7000.

NPI 1639204530Rochester, NYDermatology Physician

Profile Overview

NPI
1639204530
Provider Type
Organization
Primary Specialty
Dermatology Physician
Enumeration Date
February 22, 2007
Last Updated
February 04, 2008

Practice Location

  • 1338 Ridge RD E
  • Suite 101
  • Rochester, NY 14621-2018

Phone: (585) 544-7000

Specialties

  • Dermatology Physician (207N00000X)
Full Record
NPI
1639204530
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Dermatology And Cosmetic Practice Of Rochester PLLC
Mailing Street Address
1338 Ridge RD E
Mailing Address Line 2
Suite 101
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2018
Mailing Country
US
Mailing Phone
(585) 544-7000
Mailing Fax
(585) 544-7080
Practice Street Address
1338 Ridge RD E
Practice Address Line 2
Suite 101
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2018
Practice Country
US
Practice Phone
(585) 544-7000
Practice Fax
(585) 544-7080
Enumeration Date
February 22, 2007
Last Updated
February 04, 2008
Authorized Official Last Name
Donsky
Authorized Official First Name
Howard
Authorized Official Title
Owner
Authorized Official Phone
(585) 544-7000
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
MD
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X)