| Digestive Disease Associates, Llp | |
|
1561 Long Pond Rd Ste 110 Rochester NY 14626 | |
| (585) 723-1510 | |
| (585) 723-1518 |
| Full Name | Digestive Disease Associates, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1561 Long Pond Rd, Rochester, New York |
| Authorized Official Name and Position | Karl T Mersich (DR PARTNER) |
| Authorized Official Contact | 5857231510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Associates, Llp 1561 Long Pond Rd Ste 110 Rochester NY 14626 Ph: (585) 723-1510 | Digestive Disease Associates, Llp 1561 Long Pond Rd Ste 110 Rochester NY 14626 Ph: (585) 723-1510 |
| NPI Number | 1104834126 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 09/30/2015 |
| Medicare PECOS PAC ID | 1658371406 |
|---|---|
| Medicare Enrollment ID | O20070102000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104834126 | NPI | - | NPPES |
| 01252744 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 177994 (New York) | Primary |
| Provider Name | Joseph N Dytoc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598865966 PECOS PAC ID: 2466452214 Enrollment ID: I20101221000431 |
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