Healthcare Provider Details

I. General information

NPI: 1265721344
Provider Name (Legal Business Name): HUGO VALENCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 07/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WHITE SPRUCE BLVD STE A
ROCHESTER NY
14623-1618
US

IV. Provider business mailing address

211 WHITE SPRUCE BLVD STE A
ROCHESTER NY
14623-1618
US

V. Phone/Fax

Practice location:
  • Phone: 585-475-8700
  • Fax: 585-475-9411
Mailing address:
  • Phone: 585-475-8700
  • Fax: 585-475-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number269491
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number269491
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: