MEDICARE: DR. AURORE LUCILLE DORSINVILLE DPT, PT

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	261QP2000X	Physical Therapy Clinic/Center	046041	NY

General Provider Information

NPI Number	:	1487260352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AURORE LUCILLE DORSINVILLE DPT, PT

Provider Business Mailing Address
First Line	:	93 SMYLES DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-3130
Country	:	US
Telephone Number	:	305-903-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 SMYLES DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-3130
Country	:	US
Telephone Number	:	305-903-8210
Fax Number	:

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

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	09/16/2020

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