National Provider Identifier

Vinay Rajkumar Aggarwal, M.D.

Vinay Rajkumar Aggarwal, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Brockport, NY and a listed phone number of (585) 637-9510.

NPI 1720021108Brockport, NYFamily Medicine Physician

Profile Overview

NPI
1720021108
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 14, 2006
Last Updated
July 02, 2008

Practice Location

  • 80 West Ave
  • Suite 101
  • Brockport, NY 14420-1322

Phone: (585) 637-9510

Specialties

  • Family Medicine Physician (207Q00000X)
  • Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
Full Record
NPI
1720021108
Entity Type
Individual
Last Name
Aggarwal
First Name
Vinay
Middle Name
Rajkumar
Credential
M.D.
Mailing Street Address
80 West Ave
Mailing Address Line 2
Suite 101
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1322
Mailing Country
US
Mailing Phone
(585) 637-9510
Mailing Fax
(585) 637-9512
Practice Street Address
80 West Ave
Practice Address Line 2
Suite 101
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1322
Practice Country
US
Practice Phone
(585) 637-9510
Practice Fax
(585) 637-9512
Enumeration Date
June 14, 2006
Last Updated
July 02, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
Other Identifiers
01808882 (NY), 000915049008 (Bc/Bs)