Healthcare Provider Details

I. General information

NPI: 1750814398
Provider Name (Legal Business Name): ALEXANDER ERIC DAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 RIDGEWAY AVE STE 100
ROCHESTER NY
14626-4114
US

IV. Provider business mailing address

2440 RIDGEWAY AVE STE 100
ROCHESTER NY
14626-4114
US

V. Phone/Fax

Practice location:
  • Phone: 585-720-1550
  • Fax: 585-720-1553
Mailing address:
  • Phone: 585-720-1550
  • Fax: 585-720-1553

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: