Healthcare Provider Details

I. General information

NPI: 1831153360
Provider Name (Legal Business Name): LINDA S PARLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 LONG POND RD STE 210
ROCHESTER NY
14626
US

IV. Provider business mailing address

1561 LONG POND RD STE 210
ROCHESTER NY
14626
US

V. Phone/Fax

Practice location:
  • Phone: 585-454-3190
  • Fax: 585-454-7328
Mailing address:
  • Phone: 585-454-3190
  • Fax: 585-454-7328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number150153
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: