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General NPI Number Information
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NPI Number | 1891183679
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Entity Type | Organization
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Legal Business Name | ST FINGER LAKES MEDICAL PLLC
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 2211 LYELL AVE SUITE 106
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City | ROCHESTER
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State | NY
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Zip | 14606-5743
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Country | US
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Telephone | 585-247-2000
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Fax | 585-247-2004
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Provider Business Mailing Address
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Address Line | 2211 LYELL AVE SUITE 106
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City | ROCHESTER
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State | NY
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Zip | 14606-5743
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Country | US
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Telephone | 585-247-2000
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Fax | 585-247-2004
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Authorized Official
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Title or Position | MD
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Name | SVETLANA TROUNINA
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Credential | MD
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Telephone | 585-247-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 241242
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License Number State | NY
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