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CANANDAIGUA MEDICAL GROUP P.C. NPI 1669472973


NPI Information

NPI: 1669472973
Provider Name: CANANDAIGUA MEDICAL GROUP, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
335 PARRISH ST
CANANDAIGUA, NY
ZIP 14424
Phone: (585) 393-2888
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CANANDAIGUA MEDICAL GROUP, P.C. is an internal medicine in Canandaigua, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CANANDAIGUA MEDICAL GROUP, P.C. NPI is 1669472973. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

335 PARRISH ST
CANANDAIGUA, NY
ZIP 14424-728
Phone: (585) 393-2888
Fax: (585) 396-9275

The provider's authorized official is Bonnie L Babcock .
The authorized official title is Human Resource Manager and has the following contact phone number (585) 393-2888.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 7/21/2022.


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
1207R00000XInternal MedicineNEW YORKYes
2208000000XPediatricsNEW YORKX
3207V00000XObstetrics & GynecologyNEW YORKX
4208600000XSurgeryNEW YORKX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100458017MEDICAIDNEW YORK

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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