Justin Komisarof, MD is a
Internal Medicine based in Rochester, New York. Justin Komisarof is licensed to practice in New York (license number 311957) and his current practice location is
1000 South Ave, Rochester, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 473-2200.
NPI number for Justin Komisarof is 1821653502 and his current mailing address is 1600 East Ave Apt 302, Rochester, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821653502.
Provider's Profile
| Full Name | Justin Komisarof |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1000 South Ave, Rochester, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821653502
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Justin Komisarof such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821653502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 311957 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 311957 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Komisarof is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justin Komisarof, MD
1600 East Ave Apt 302,
Rochester, NY 14610-1625
Ph: (610) 937-5393 | Justin Komisarof, MD
1000 South Ave,
Rochester, NY 14620-2733
Ph: (585) 473-2200 |
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