IRONDEQUOIT INTERNAL MEDICINE is a specialist in Rochester, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IRONDEQUOIT INTERNAL MEDICINE NPI is 1245375708. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
485 TITUS AVE STE H
ROCHESTER, NY
ZIP 14617-544
Phone: (585) 338-2530
Fax: (585) 338-7304
The provider's authorized official is Larisa Khishchenko .
The authorized official title is Owner and has the following contact phone number (585) 338-2530.
The CLIA number assigned to this NPI record is 33D0973243 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.