DR. IRA SHOULSON M.D. NPI 1326156126

NPI Information

NPI: 1326156126
Provider Name: DR. IRA SHOULSON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
601 ELMWOOD AVE
BOX 278984
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-8503
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DR. Ira Shoulson, M.D. is a neurology psychiatry neurology in Rochester, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Ira Shoulson, M.D. NPI is 1326156126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 ELMWOOD AVE
BOX 278984
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-8503
Fax: (585) 276-2249

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	126212	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B71778	MEDICARE UPIN	NEW YORK
2	00360036	MEDICAID	NEW YORK
3	111461	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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