Healthcare Provider Details

I. General information

NPI: 1013949080
Provider Name (Legal Business Name): YOSHIHIKO MURATA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 PORTLAND AVE
ROCHESTER NY
14621-3001
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX MED
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-4003
  • Fax: 585-922-5168
Mailing address:
  • Phone: 585-273-1741
  • Fax: 585-276-2140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number237384
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: