Healthcare Provider Details

I. General information

NPI: 1811682545
Provider Name (Legal Business Name): CLAIRE FILLOUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 SOUTH AVE STE 207
ROCHESTER NY
14620-2762
US

IV. Provider business mailing address

1000 SOUTH AVE # 4
ROCHESTER NY
14620-2733
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-6775
  • Fax: 585-341-8310
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number342146
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: