Dr Nicole April Wilson, PHD, MD | |
601 Elmwood Ave Box Surg Box Surg, Rochester, NY 14642-0001 | |
(585) 275-4435 | |
(585) 276-2370 |
Full Name | Dr Nicole April Wilson |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 601 Elmwood Ave Box Surg Box Surg, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336588326 | NPI | - | NPPES |
2018008652 | Other | MO | STATE OF MISSOURI |
304415 | Other | NY | STATE OF NEW YORK |
06055958 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 304415 (New York) | Primary |
Entity Name | University Of Rochester Surgical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740205566 PECOS PAC ID: 8022919232 Enrollment ID: O20040120000191 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole April Wilson, PHD, MD 601 Elmwood Ave Box Surg, Rochester, NY 14642-0001 Ph: (585) 275-4435 | Dr Nicole April Wilson, PHD, MD 601 Elmwood Ave Box Surg Box Surg, Rochester, NY 14642-0001 Ph: (585) 275-4435 |
Meghan C Little, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-486-0600 | |
Irina Kanzafarova, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-273-1745 | |
Dr. Yanjie Qi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-3022 Fax: 585-276-7851 | |
Jacob Moalem, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-1611 Fax: 585-273-1252 | |
Dustin John Fanciullo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1445 Portland Ave, Suite 108, Rochester, NY 14621 Phone: 585-922-5550 Fax: 585-922-0450 | |
Mary Lou O'neill-huber, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Erie Canal Dr, Suite B, Rochester, NY 14626 Phone: 585-225-5420 Fax: 585-225-5644 | |
Dr. Ann Therese Olzinski-kunze, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-487-1700 Fax: 585-321-1724 |