Healthcare Provider Details

I. General information

NPI: 1215946843
Provider Name (Legal Business Name): BRIAN GIORDANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE # 665
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

BOX 665 601 ELMWOOD AVE
ROCHESTER NY
14642
US

V. Phone/Fax

Practice location:
  • Phone: 585-273-3125
  • Fax: 585-756-4721
Mailing address:
  • Phone: 585-273-3125
  • Fax: 585-756-4721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number238024
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number238024
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: