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Organization
RICHARD G. GAGNIER, MD
Active
Organization
RICHARD G. GAGNIER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G GAGNIER MD (OWNER)
(585) 244-4510
Entity
Organization
Contact information
Practice address
900 WINTON RD S, ROCHESTER, NY 14618-1628
(585) 244-4510
(585) 244-1695
Mailing address
900 WINTON RD S, ROCHESTER, NY 14618-1628
(585) 244-4510
(585) 244-1695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60136454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714618
—
NY
01
—
W52264
MEDICARE PTAN GROUP
NY
Enumeration date
03/27/2008
Last updated
04/20/2008
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