MEDICARE: CROSS KEYS INTERNAL MEDICINE,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
1	207R00000X	Internal Medicine Physician

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	:	1528156841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSS KEYS INTERNAL MEDICINE,LLP

Provider Business Mailing Address
First Line	:	420 CROSS KEYS OFFICE PARK
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 CROSS KEYS OFFICE PARK
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3506
Country	:	US
Telephone Number	:	585-223-4620
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CINDY ARIENO
Credential	:
Telephone Number	:	585-223-4620

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	04/17/2014

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Practice Location Address:

430 CROSS KEYS OFFICE PARK
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14450-3506

Practice Phone: 585-223-1633
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1134198849 — DR. DAVID WILLIAM KOPP MD
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1760431043 — LEON JOSEPH SCHOFIELD PHD
Practice Location Address:

465 CROSS KEYS OFFICE PARK
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14450-3506

Practice Phone: 585-425-2480
Practice Fax:

1588610943 — DR. STEVEN JAY HOWARD M.D.
Practice Location Address:

420 CROSS KEYS OFFICE PARK
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14450-3506

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1811931900 — DR. JOHN L GENIER M.D.
Practice Location Address:

420 CROSS KEYS OFFICE PARK
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1255447751 — DR. ROBERT JAMES VALENTI PH.D.
Practice Location Address:

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