Healthcare Provider Details

I. General information

NPI: 1912974486
Provider Name (Legal Business Name): BRIGHTON GREECE MEDICAL PRACTICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 WESTFALL RD SUITE 350
ROCHESTER NY
14618-2605
US

IV. Provider business mailing address

PO BOX 2005
EAST SYRACUSE NY
13057-4505
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-4280
  • Fax: 585-271-4489
Mailing address:
  • Phone: 315-449-0513
  • Fax: 315-445-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SATISH ACHARYA
Title or Position: AUTHORIZED REP
Credential: MD
Phone: 585-271-4280