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Organization
ROOPA M KORNI PHYSICIAN PLLC
Active
Organization
ROOPA M KORNI PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROOPA KORNI MD (DOCTOR)
(585) 413-3520
Entity
Organization
Contact information
Practice address
2450 W RIDGE RD, SUITE 202, ROCHESTER, NY 14626-3037
(585) 413-3520
(585) 360-4181
Mailing address
2450 W RIDGE RD, SUITE 202, ROCHESTER, NY 14626-3037
(585) 413-3520
(585) 360-4181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
253455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03127759
—
NY
01
—
1265776181
MEDICAIRE NPI
NY
Enumeration date
11/15/2012
Last updated
11/01/2016
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