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NPI Code Detail

MEDICARE: DR. PHILLIP MICHAEL SCHIRCK MD

MEDICARE:  DR. PHILLIP MICHAEL SCHIRCK  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
1207R00000XInternal Medicine Physician177181NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PREFERRED CAREOTHERNY101271BJ
2000914902004OTHERNYCOMMUNITY BLUE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4P010177181OTHERNYBLUE CHOICE
5P030177181OTHERNYBLUE SHIELD

General Provider Information

NPI Number : 1447286307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILLIP MICHAEL SCHIRCK MD
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 HAMLIN CLARKSON TOWNLINE RD
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 11/30/2012

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Directions to “ DR. PHILLIP MICHAEL SCHIRCK MD” Practice Location

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