National Provider Identifier

Garnetta McCoy Ely, MD

Garnetta McCoy Ely, MD is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Canandaigua, NY and a listed phone number of (585) 396-6190.

NPI 1700994522Canandaigua, NYRheumatology Physician

Profile Overview

NPI
1700994522
Provider Type
Individual
Primary Specialty
Rheumatology Physician
Enumeration Date
August 29, 2006
Last Updated
July 09, 2007

Practice Location

  • 3170 West St
  • Canandaigua, NY 14424-1712

Phone: (585) 396-6190

Mailing Address

  • 12 Savannah Ct
  • Rochester, NY 14625-2926

Specialties

  • Rheumatology Physician (207RR0500X)
Full Record
NPI
1700994522
Entity Type
Individual
Last Name
Ely
First Name
Garnetta
Middle Name
McCoy
Credential
MD
Mailing Street Address
12 Savannah Ct
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2926
Mailing Country
US
Practice Street Address
3170 West St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1712
Practice Country
US
Practice Phone
(585) 396-6190
Practice Fax
(585) 396-6191
Enumeration Date
August 29, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Rheumatology Physician (207RR0500X)
Other Identifiers
01577664 (NY), P010157013 (NY, Excellus), 101048CD (NY, Preferred Care)