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NPI Code Detail

MEDICARE: GREECE OBSTETRICS AND GYNECOLOGY GROUP LLP

MEDICARE: GREECE OBSTETRICS AND GYNECOLOGY GROUP LLP
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 PhysicianNY

General Provider Information

NPI Number : 1386743052
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREECE OBSTETRICS AND GYNECOLOGY GROUP LLP
Provider Business Mailing Address
First Line : 2337 RIDGEWAY AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4111
Country : US
Telephone Number : 585-225-6680
Fax Number : 585-225-3472
Provider Business Practice Location Address
First Line : 2337 RIDGEWAY AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4111
Country : US
Telephone Number : 585-225-6680
Fax Number : 585-225-3472
Authorized Official
Title or Position : BUSINESS MANAGER
Name : CONNIE ULMEN
Credential :
Telephone Number : 585-225-6680
Provider Enumeration Date : 09/21/2006
Last Update Date : 01/24/2019

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Directions to “GREECE OBSTETRICS AND GYNECOLOGY GROUP LLP ” Practice Location

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