Healthcare Provider Details

I. General information

NPI: 1629047303
Provider Name (Legal Business Name): PATRICIA A DOWLING RPAC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 LONG POND RD INTERLAKES ONCOLOGY & HEMATOLOGY PC
ROCHESTER NY
14626-4117
US

IV. Provider business mailing address

211 WHITE SPRUCE BLVD INTERLAKES ONCOLOIGY & HEMATOLOGY PC
ROCHESTER NY
14623-1616
US

V. Phone/Fax

Practice location:
  • Phone: 585-453-2700
  • Fax: 585-227-1418
Mailing address:
  • Phone: 585-475-8728
  • Fax: 585-475-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number002339-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: