Healthcare Provider Details

I. General information

NPI: 1295993368
Provider Name (Legal Business Name): STEPHEN L. KATES, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 SOUTH AVE SUITE 010
ROCHESTER NY
14620-2763
US

IV. Provider business mailing address

990 SOUTH AVE SUITE 010
ROCHESTER NY
14620-2763
US

V. Phone/Fax

Practice location:
  • Phone: 585-242-7720
  • Fax: 585-242-7723
Mailing address:
  • Phone: 585-242-7720
  • Fax: 585-242-7723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number165777-1
License Number StateNY

VIII. Authorized Official

Name: DR. STEPHEN LLOYD KATES
Title or Position: PRESIDENT
Credential: MD
Phone: 585-242-7720