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GENESEE VALLEY CARDIOTHORACIC PC NPI 1457464588


NPI Information

NPI: 1457464588
Provider Name: GENESEE VALLEY CARDIOTHORACIC, PC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
1415 PORTLAND AVE
SUITE 240
ROCHESTER, NY
ZIP 14621
Phone: (585) 544-6550
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GENESEE VALLEY CARDIOTHORACIC, PC is a thoracic surgery cardiothoracic vascular surgery in Rochester, NY. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. GENESEE VALLEY CARDIOTHORACIC, PC NPI is 1457464588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 PORTLAND AVE
SUITE 240
ROCHESTER, NY
ZIP 14621-038
Phone: (585) 544-6550
Fax: (585) 338-2997

The provider's authorized official is Ronald Lee Kirshner .
The authorized official title is President and has the following contact phone number (585) 544-6550.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11457464588OTHERNPI
2=========OTHERNEW YORKFEDERAL TAX ID
310650AMEDICARE PINNEW YORK
401409443MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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