MEDICARE: ROBERT N KORNFIELD MD PC

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	207RG0100X	Gastroenterology Physician	114616	NY

General Provider Information

NPI Number	:	1609928308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT N KORNFIELD MD PC

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	:	1401 STONE RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14615-1537
Country	:	US
Telephone Number	:	585-663-8240
Fax Number	:	585-385-9124

Authorized Official
Title or Position	:	REPRESENTATIVE
Name	:	MRS. BRENDA ZEIGLER
Credential	:
Telephone Number	:	585-385-9030

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	05/04/2009

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