Healthcare Provider Details

I. General information

NPI: 1437237559
Provider Name (Legal Business Name): PILLAR MEDICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 PORTLAND AVE
ROCHESTER NY
14621-3065
US

IV. Provider business mailing address

1500 PORTLAND AVE
ROCHESTER NY
14621-3065
US

V. Phone/Fax

Practice location:
  • Phone: 585-697-6413
  • Fax: 585-342-9166
Mailing address:
  • Phone: 585-697-6413
  • Fax: 585-342-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: EVE SCOFIELD
Title or Position: MEDICAL PRACTICE ADMINISTRATOR
Credential:
Phone: 585-697-6411