Healthcare Provider Details
I. General information
NPI: 1982939096
Provider Name (Legal Business Name): ASSUNTA ROCCI STRANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/07/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 KREAG RD
PITTSFORD NY
14534-3706
US
IV. Provider business mailing address
510 KREAG RD
PITTSFORD NY
14534-3706
US
V. Phone/Fax
- Phone: 585-218-9560
- Fax: 585-586-4984
- Phone: 585-218-9560
- Fax: 585-586-4984
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 204965 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: