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NPI Code Detail

MEDICARE: EMERY AND SCURO DMD PC

MEDICARE: EMERY AND SCURO DMD 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
11223D0001XPublic Health Dentistry031257NY

General Provider Information

NPI Number : 1952458341
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERY AND SCURO DMD PC
Provider Business Mailing Address
First Line : 2184 CHILI AVE.
Second Line :
City : ROCHESTER
State : NY
Zip : 14624
Country : US
Telephone Number : 585-247-7110
Fax Number : 585-426-8966
Provider Business Practice Location Address
First Line : 2184 CHILI AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-3343
Country : US
Telephone Number : 585-247-7110
Fax Number : 585-426-8966
Authorized Official
Title or Position : DENTIST
Name : DR. W BRADFORD EMERY
Credential : DMD
Telephone Number : 585-247-7110
Provider Enumeration Date : 01/05/2007
Last Update Date : 08/22/2020

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