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Organization
VICTOR INTERNAL MEDICINE & PEDIATRICS,P.C.
Active
Organization
VICTOR INTERNAL MEDICINE & PEDIATRICS,P.C.
Active
Other names
Victor Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DWAIN PENIRD M.D. (PRESIDENT)
(585) 924-2158
Entity
Organization
Contact information
Practice address
6532 ANTHONY DR STE A, VICTOR, NY 14564-1422
(585) 924-2100
(585) 398-1217
Mailing address
6532 ANTHONY DR STE A, VICTOR, NY 14564-1422
(585) 924-2100
(585) 398-1217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197675
NY
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/07/2007
Last updated
03/11/2022
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