National Provider Identifier

Justin Komisarof, MD

Justin Komisarof, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 473-2200.

NPI 1821653502Rochester, NYInternal Medicine Physician

Source: public NPPES record, last updated July 17, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1821653502
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
May 07, 2019
Last Updated
July 17, 2023

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2733

Phone: (585) 473-2200

Mailing Address

  • 1600 East Ave Apt 302
  • Rochester, NY 14610-1625

Specialties

  • Internal Medicine Physician (207R00000X)
  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

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Full Record
NPI
1821653502
Entity Type
Individual
Last Name
Komisarof
First Name
Justin
Credential
MD
Mailing Street Address
1600 East Ave Apt 302
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1625
Mailing Country
US
Mailing Phone
(610) 937-5393
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 473-2200
Enumeration Date
May 07, 2019
Last Updated
July 17, 2023
Sex
Male
Sole Proprietor
No
Certification Date
October 21, 2022
Taxonomies
Internal Medicine Physician (207R00000X), Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)