Healthcare Provider Details

I. General information

NPI: 1437240231
Provider Name (Legal Business Name): OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE BOX 654
ROCHESTER NY
14642-8654
US

IV. Provider business mailing address

910 WILLITS RD
ONTARIO NY
14519-9380
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-7795
  • Fax: 585-756-5326
Mailing address:
  • Phone: 315-524-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number215298
License Number StateNY

VIII. Authorized Official

Name: DR. LINDA M KARBONIT
Title or Position: CLINIC PHYSICIAN
Credential: DO
Phone: 585-275-7795