Healthcare Provider Details

I. General information

NPI: 1558465203
Provider Name (Legal Business Name): DOUGLAS ANDREW RING DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 LAC DEVILLE BLVD SUITE 3
ROCHESTER NY
14518
US

IV. Provider business mailing address

2101 LAC DEVILLE BLVD SUITE 3
ROCHESTER NY
14518
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-1150
  • Fax: 585-473-9602
Mailing address:
  • Phone: 585-244-1150
  • Fax: 585-473-9602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005134
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: