Healthcare Provider Details

I. General information

NPI: 1629265020
Provider Name (Legal Business Name): CARLTON JAMES COVEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 OFFICE PARK WAY
PITTSFORD NY
14534-1734
US

IV. Provider business mailing address

30 OFFICE PARK WAY
PITTSFORD NY
14534-1734
US

V. Phone/Fax

Practice location:
  • Phone: 585-662-5510
  • Fax:
Mailing address:
  • Phone: 585-662-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number343269
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: