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NPI Code Detail

MEDICARE: BRANDON P DELAPORTE

MEDICARE: BRANDON P DELAPORTE
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
1175T00000XPeer SpecialistNY

General Provider Information

NPI Number : 1710832241
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON P DELAPORTE
Provider Business Mailing Address
First Line : 447 THURSTON RD APT 301
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-1650
Country : US
Telephone Number : 585-487-9875
Fax Number : 585-487-9875
Provider Business Practice Location Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 585-627-1777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ BRANDON P DELAPORTE ” Practice Location

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