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NPI Code Detail

MEDICARE: ANDRE BISCAYE MD

MEDICARE: ANDRE BISCAYE 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
1207Q00000XFamily Medicine Physician332736NY
2207Q00000XFamily Medicine Physician74609MN
3207QA0401XAddiction Medicine (Family Medicine) Physician332736NY

General Provider Information

NPI Number : 1720617772
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRE BISCAYE MD
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1565 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4168
Country : US
Telephone Number : 585-723-7723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 09/26/2024

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