National Provider Identifier

Greater Rochester Internal Medicine PLLC

Greater Rochester Internal Medicine PLLC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 865-1110.

NPI 1649300245Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1649300245
Provider Type
Organization
Primary Specialty
Internal Medicine Physician
Enumeration Date
March 06, 2007
Last Updated
June 02, 2009

Practice Location

  • 1401 Stone RD Ste 201
  • Rochester, NY 14615-1537

Phone: (585) 865-1110

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1649300245
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Greater Rochester Internal Medicine PLLC
Mailing Street Address
1401 Stone RD Ste 201
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-1537
Mailing Country
US
Mailing Phone
(585) 865-1110
Mailing Fax
(585) 865-1124
Practice Street Address
1401 Stone RD Ste 201
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-1537
Practice Country
US
Practice Phone
(585) 865-1110
Practice Fax
(585) 865-1124
Enumeration Date
March 06, 2007
Last Updated
June 02, 2009
Authorized Official Last Name
Ragusa
Authorized Official First Name
Anthony
Authorized Official Title
Principle
Authorized Official Phone
(585) 865-1110
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
Internal Medicine Physician (207R00000X)