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NPI Code Detail

MEDICARE: BRIGHTON PSYCHIATRIC SERVICES PC

MEDICARE: BRIGHTON PSYCHIATRIC SERVICES 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
1261QM2500XMedical Specialty Clinic/Center127442NY

General Provider Information

NPI Number : 1912183690
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTON PSYCHIATRIC SERVICES PC
Provider Business Mailing Address
First Line : 210 INWOOD DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2290 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2518
Country : US
Telephone Number : 585-309-1284
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. GREGORY SEEGER
Credential : MD
Telephone Number : 585-309-1284
Provider Enumeration Date : 01/13/2008
Last Update Date : 01/13/2008

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