MEDICARE: MEGAN H HYLAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	266506	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084N0400X	Neurology Physician	266506	NY

General Provider Information

NPI Number	:	1588778955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN H HYLAND M.D.

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE
Second Line	:	BOX 278984
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-275-1200
Fax Number	:	585-756-5189

Provider Business Practice Location Address
First Line	:	919 WESTFALL RD
Second Line	:	BLDG C, STE 220
City	:	ROCHESTER
State	:	NY
Zip	:	14618-2628
Country	:	US
Telephone Number	:	585-341-7500
Fax Number	:	585-341-7510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/07/2023

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