Healthcare Provider Details

I. General information

NPI: 1780682351
Provider Name (Legal Business Name): STEVEN M FINE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S CLINTON AVE
ROCHESTER NY
14620-1448
US

IV. Provider business mailing address

777 S CLINTON AVE
ROCHESTER NY
14620-1448
US

V. Phone/Fax

Practice location:
  • Phone: 585-279-4800
  • Fax: 585-442-8319
Mailing address:
  • Phone: 585-279-4800
  • Fax: 585-442-8319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number191818
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number191818
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number191818
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: