Healthcare Provider Details

I. General information

NPI: 1245268275
Provider Name (Legal Business Name): BARRINGTON PARK DERMATOLOGICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 LINDEN OAKS STE 300
ROCHESTER NY
14625-2839
US

IV. Provider business mailing address

220 LINDEN OAKS STE 300
ROCHESTER NY
14625-2839
US

V. Phone/Fax

Practice location:
  • Phone: 585-383-4420
  • Fax: 585-383-4515
Mailing address:
  • Phone: 585-383-4420
  • Fax: 585-383-4515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA A LEVE
Title or Position: PRESIDENT
Credential: MD
Phone: 585-383-4420