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INTERNAL MEDICINE ON EAST RIDGE LLC NPI 1306058433


NPI Information

NPI: 1306058433
Provider Name: INTERNAL MEDICINE ON EAST RIDGE, LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1880 EAST RIDGE ROAD, SUITE 5
ROCHESTER, NY
ZIP 14622
Phone: (585) 697-7775
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INTERNAL MEDICINE ON EAST RIDGE, LLC is a geriatric medicine internal medicine in Rochester, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. INTERNAL MEDICINE ON EAST RIDGE, LLC NPI is 1306058433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1880 EAST RIDGE ROAD, SUITE 5
ROCHESTER, NY
ZIP 14622
Phone: (585) 697-7775
Fax: (585) 697-7776

The provider's authorized official is Brenda Jean Iannucci .
The authorized official title is Physician Owner and has the following contact phone number (585) 697-7775.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine196460NEW YORKYes

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: 4/28/2024

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