| R J Umansky MD PC | |
|
1445 Portland Ave Rochester NY 14621-3036 | |
| (585) 922-5050 | |
| Not Available |
| Full Name | R J Umansky MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1445 Portland Ave, Rochester, New York |
| Authorized Official Name and Position | Ronald J Umansky (OWNER) |
| Authorized Official Contact | 5859225050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R J Umansky MD PC 1445 Portland Ave Rochester NY 14621-3036 Ph: (585) 922-5050 | R J Umansky MD PC 1445 Portland Ave Rochester NY 14621-3036 Ph: (585) 922-5050 |
| NPI Number | 1558517326 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 5890861066 |
|---|---|
| Medicare Enrollment ID | O20080912000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558517326 | NPI | - | NPPES |
| P010124233 | Other | NY | BLUE CHOICE |
| 0498 | Other | NY | BLUE SHIELD |
| 100720BJ | Other | NY | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 124233 (New York) | Primary |
| Provider Name | Ronald J Umansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497717631 PECOS PAC ID: 7810063088 Enrollment ID: I20080912000091 |
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