MEDICARE: LESLIE F ALGASE 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	207R00000X	Internal Medicine Physician	155978	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366447831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE F ALGASE MD

Provider Business Mailing Address
First Line	:	625 PANORAMA TRAIL
Second Line	:	BLDG 3, STE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2404
Country	:	US
Telephone Number	:	585-276-9361
Fax Number	:	585-641-0300

Provider Business Practice Location Address
First Line	:	625 PANORAMA TRAIL
Second Line	:	BLDG 3, STE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2404
Country	:	US
Telephone Number	:	585-276-9361
Fax Number	:	585-641-0300

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/03/2023

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