# LOCUM TENENS MEDICAL PARTNERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629673108
- **Authorized official:** JAY ELLIE MD (MEMBER)
- **Authorized official phone:** (585) 500-4814

## Contact information

- **Practice address:** 1160 CHILI AVE, ROCHESTER, NY 14624-3035
- **Practice address phone:** (585) 500-4814
- **Mailing address:** 1160 CHILI AVE, ROCHESTER, NY 14624-3035
- **Mailing address phone:** (585) 500-4814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 12/10/2020