Healthcare Provider Details
I. General information
NPI: 1518300110
Provider Name (Legal Business Name): AARON FRANCIS FIELDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2013
Last Update Date: 07/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US
IV. Provider business mailing address
601 ELMWOOD AVE., BOX 655-B
ROCHESTER NY
14642-8655
US
V. Phone/Fax
- Phone: 585-275-9555
- Fax:
- Phone: 585-341-3015
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 283786 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 283786 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: