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
1	1223D0001X	Public Health Dentistry	031257	NY

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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