Healthcare Provider Details

I. General information

NPI: 1346138021
Provider Name (Legal Business Name): SETH CASE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 W RIDGE RD
ROCHESTER NY
14626-2728
US

IV. Provider business mailing address

21 PARKVIEW TER
ROCHESTER NY
14617-1109
US

V. Phone/Fax

Practice location:
  • Phone: 585-434-7767
  • Fax:
Mailing address:
  • Phone: 315-359-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: