| Finger Lakes Infectious Diseases, Pllc | |
|
10 Brakenberry Road Pittsford NY 14534 | |
| (585) 412-6140 | |
| Not Available |
| Full Name | Finger Lakes Infectious Diseases, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Brakenberry Road, Pittsford, New York |
| Authorized Official Name and Position | David J Mock (PRESIDENT) |
| Authorized Official Contact | 5854902512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Finger Lakes Infectious Diseases, Pllc Po Box 3 Clifton Springs NY 14432-0003 Ph: (585) 412-6140 | Finger Lakes Infectious Diseases, Pllc 10 Brakenberry Road Pittsford NY 14534 Ph: (585) 412-6140 |
| NPI Number | 1760711576 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Medicare PECOS PAC ID | 5395880132 |
|---|---|
| Medicare Enrollment ID | O20100304000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760711576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | David J Mock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942390752 PECOS PAC ID: 3971562026 Enrollment ID: I20041005001073 |
| Provider Name | Kathleen M Vanderbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255340782 PECOS PAC ID: 5092759316 Enrollment ID: I20050620000399 |
| Provider Name | Nella H Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437415015 PECOS PAC ID: 0840501250 Enrollment ID: I20150625001066 |
| Provider Name | Gretchen A. Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541855 PECOS PAC ID: 3375831761 Enrollment ID: I20161018002469 |
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