Healthcare Provider Details

I. General information

NPI: 1235110032
Provider Name (Legal Business Name): JULES MUSINGER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ERIE CANAL DR STE E
ROCHESTER NY
14626-4605
US

IV. Provider business mailing address

121 ERIE CANAL DR STE E
ROCHESTER NY
14626-4605
US

V. Phone/Fax

Practice location:
  • Phone: 585-225-5900
  • Fax: 585-225-6574
Mailing address:
  • Phone: 585-225-5900
  • Fax: 585-225-6574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number080651
License Number StateNY

VIII. Authorized Official

Name: MR. JULES MUSINGER
Title or Position: OWNER
Credential: MD
Phone: 585-225-5900