| Greater Rochester Internal Medicine Pllc | |
|
1401 Stone Rd Ste 201 Rochester NY 14615-1537 | |
| (585) 865-1110 | |
| (585) 865-1124 |
| Full Name | Greater Rochester Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Stone Rd Ste 201, Rochester, New York |
| Authorized Official Name and Position | Anthony Ragusa (PRINCIPLE) |
| Authorized Official Contact | 5858651110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Rochester Internal Medicine Pllc 1401 Stone Rd Ste 201 Rochester NY 14615-1537 Ph: (585) 865-1110 | Greater Rochester Internal Medicine Pllc 1401 Stone Rd Ste 201 Rochester NY 14615-1537 Ph: (585) 865-1110 |
| NPI Number | 1649300245 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/02/2009 |
| Medicare PECOS PAC ID | 9133278872 |
|---|---|
| Medicare Enrollment ID | O20090528000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649300245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda R Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568593010 PECOS PAC ID: 8527041813 Enrollment ID: I20040608001380 |
| Provider Name | William J Montesano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962510792 PECOS PAC ID: 1254305592 Enrollment ID: I20040823001329 |
| Provider Name | Anthony Ragusa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962470229 PECOS PAC ID: 5991729410 Enrollment ID: I20090528000463 |
| Provider Name | Denise M Giblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902934862 PECOS PAC ID: 9234283763 Enrollment ID: I20090819000128 |
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