Flower City Medical Group Llp | |
1815 S Clinton Ave Ste 620 Rochester NY 14618-5723 | |
(585) 319-5354 | |
(833) 450-5339 |
Full Name | Flower City Medical Group Llp |
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Speciality | Internal Medicine |
Location | 1815 S Clinton Ave Ste 620, Rochester, New York |
Authorized Official Name and Position | Edith Dale (GENERAL PARTNER) |
Authorized Official Contact | 5857335822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flower City Medical Group Llp 1815 S Clinton Ave Ste 620 Rochester NY 14618-5723 Ph: (585) 319-5354 | Flower City Medical Group Llp 1815 S Clinton Ave Ste 620 Rochester NY 14618-5723 Ph: (585) 319-5354 |
NPI Number | 1346095254 |
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Provider Enumeration Date | 04/23/2024 |
Last Update Date | 09/11/2024 |
Medicare PECOS PAC ID | 3577003573 |
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Medicare Enrollment ID | O20240905000692 |
Identifier | Type | State | Issuer |
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1346095254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Edith Louise Dale |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609876838 PECOS PAC ID: 4284618489 Enrollment ID: I20040615001623 |
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