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NPI Code Detail

MEDICARE: DR. LAUREL A PFEIL MD

MEDICARE: DR. LAUREL A PFEIL 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
1207R00000XInternal Medicine Physician176159NY
2207RG0300XGeriatric Medicine (Internal Medicine) Physician176159NY
3207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician176159NY

General Provider Information

NPI Number : 1902825649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREL A PFEIL MD
Provider Business Mailing Address
First Line : 2021 WINTON ROAD S.
Second Line : JEWISH HOME OF ROCHESTER
City : ROCHESTER
State : NY
Zip : 14618-3957
Country : US
Telephone Number : 585-784-6400
Fax Number : 585-341-2370
Provider Business Practice Location Address
First Line : 2021 WINTON ROAD S.
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3957
Country : US
Telephone Number : 585-760-6351
Fax Number : 585-760-6376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/23/2011

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