Healthcare Provider Details

I. General information

NPI: 1659468346
Provider Name (Legal Business Name): STEWART F CRAMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL, PATHOLOGY
ROCHESTER NY
14621-3001
US

IV. Provider business mailing address

1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL, PATHOLOGY
ROCHESTER NY
14621-3001
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-4121
  • Fax: 585-922-4128
Mailing address:
  • Phone: 585-922-4121
  • Fax: 585-922-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number127571
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberR5974
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number35041398
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number127571
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberR5974
License Number StateMO
# 6
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number35041398
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number127571
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License NumberR5974
License Number StateMO
# 9
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number35041398
License Number StateOH
# 10
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number127571
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: