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NPI Code Detail

MEDICARE: DR. VENCY JAMES LAURENT M.D.

MEDICARE: DR. VENCY JAMES LAURENT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician320453NY
2208M00000XHospitalist Physician320453NY

General Provider Information

NPI Number : 1043531452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VENCY JAMES LAURENT M.D.
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4164
Country : US
Telephone Number : 585-723-7870
Fax Number : 585-723-7871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 04/10/2024

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