National Provider Identifier

Rory C Doremus, PA-C

Rory C Doremus, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 396-1980.

NPI 1699446187Canandaigua, NYPhysician Assistant

Profile Overview

NPI
1699446187
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 23, 2021
Last Updated
July 17, 2023

Practice Location

  • 395 West Street
  • Suite 307
  • Canandaigua, NY 14424

Phone: (585) 396-1980

Mailing Address

  • 601 Elmwood Avenue Box 679-B
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
  • Internal Medicine Physician (207R00000X)

Endpoints

  • rdoremus213896@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1699446187
Entity Type
Individual
Last Name
Doremus
First Name
Rory
Middle Name
C
Credential
PA-C
Mailing Street Address
601 Elmwood Avenue Box 679-B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
395 West Street
Practice Address Line 2
Suite 307
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424
Practice Country
US
Practice Phone
(585) 396-1980
Enumeration Date
September 23, 2021
Last Updated
July 17, 2023
Sex
Male
Sole Proprietor
No
Certification Date
October 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Internal Medicine Physician (207R00000X)