MEDICARE: DR. DAVID H REFERMAT MD

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	208200000X	Plastic Surgery Physician	211541	NY

General Provider Information

NPI Number	:	1194721282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID H REFERMAT MD

Provider Business Mailing Address
First Line	:	360 LINDEN OAKS DR.
Second Line	:	STE 310
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-922-5840
Fax Number	:	585-586-7558

Provider Business Practice Location Address
First Line	:	360 LINDEN OAKS DR.
Second Line	:	STE 310
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-922-5840
Fax Number	:	585-586-7558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/07/2018

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