National Provider Identifier

Emogene H Bedrosian, MD

Emogene H Bedrosian, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Chautauqua, NY and a listed phone number of (716) 753-2061.

NPI 1780668442Chautauqua, NYEmergency Medicine Physician

Profile Overview

NPI
1780668442
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
December 05, 2005
Last Updated
September 19, 2011

Practice Location

  • 98 Stoessel Ave.
  • Chautauqua, NY 14722-0451

Phone: (716) 753-2061

Mailing Address

  • PO Box 451
  • 98 Stoessel Ave
  • Chautauqua, NY 14722-0451

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1780668442
Entity Type
Individual
Last Name
Bedrosian
First Name
Emogene
Middle Name
H
Name Prefix
Dr.
Credential
MD
Provider Other Last Name
Herzog
Provider Other First Name
Gena
Provider Other Middle Name
Lee
Provider Other Credential Text
MD
Provider Other Last Name Type Code
1
Mailing Street Address
PO Box 451
Mailing Address Line 2
98 Stoessel Ave
Mailing City
Chautauqua
Mailing State
NY
Mailing ZIP Code
14722-0451
Mailing Country
US
Mailing Phone
(716) 753-2061
Mailing Fax
(716) 753-2062
Practice Street Address
98 Stoessel Ave.
Practice City
Chautauqua
Practice State
NY
Practice ZIP Code
14722-0451
Practice Country
US
Practice Phone
(716) 753-2061
Practice Fax
(716) 753-2062
Enumeration Date
December 05, 2005
Last Updated
September 19, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)
Other Identifiers
N409522 (OH, Wellcare), 000000381808 (OH, Anthem), 2781664 (OH), 000000162489 (OH, Anthem), 000000268968 (OH, Anthem)