MEDICARE: PHILLIP M SCHIRCK, MD PLLC

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
1	207R00000X	Internal Medicine Physician	177181	NY

General Provider Information

NPI Number	:	1174559256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILLIP M SCHIRCK, MD PLLC

Provider Business Mailing Address
First Line	:	790 LINDEN AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2716
Country	:	US
Telephone Number	:	585-385-9030
Fax Number	:	585-385-9124

Provider Business Practice Location Address
First Line	:	432 CLARKSON HAMLIN TOWNLINE ROAD
Second Line	:
City	:	HAMLIN
State	:	NY
Zip	:	14464
Country	:	US
Telephone Number	:	585-964-8880
Fax Number	:	585-964-8886

Authorized Official
Title or Position	:	OWNER
Name	:	PHILLIP MICHAEL SCHIRCK
Credential	:	MD
Telephone Number	:	585-964-8880

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	02/14/2014

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