Healthcare Provider Details

I. General information

NPI: 1659348332
Provider Name (Legal Business Name): GASTROENTEROLOGY ASSOCIATES OF ROCHESTER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 03/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 RIDGEWAY AVE SUITE 100
ROCHESTER NY
14626-4145
US

IV. Provider business mailing address

2440 RIDGEWAY AVE SUITE 100
ROCHESTER NY
14626-4145
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 Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREJ STRAPKO
Title or Position: PARTNER
Credential: MD
Phone: 585-720-1550