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NPI Code Detail

MEDICARE: DR. PHILIP C NEVIN M.D.

MEDICARE: DR. PHILIP C NEVIN 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
1207V00000XObstetrics & Gynecology Physician184499NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD112MOTHERNYPREFERRED CARE
21871OTHERNYBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235132077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP C NEVIN M.D.
Provider Business Mailing Address
First Line : 335 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1728
Country : US
Telephone Number : 585-393-2800
Fax Number : 585-396-9275
Provider Business Practice Location Address
First Line : 335 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1728
Country : US
Telephone Number : 585-393-2800
Fax Number : 585-396-9275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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