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.
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)
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)