National Provider Identifier

Joshua Lee Tidd, MD

Joshua Lee Tidd, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1740049998Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1740049998
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 601 Elmwood Ave Box 665
  • Rochester, NY 14642-0001

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1740049998
Entity Type
Individual
Last Name
Tidd
First Name
Joshua
Middle Name
Lee
Credential
MD
Mailing Street Address
601 Elmwood Ave Box 665
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 602-2560
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)