# DEPARTMENT OF MEDICINE FACULTY PRACTICE

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

## Provider details

- **NPI number:** 1851348809
- **Authorized official:** DR. RICHARD STERNS M.D. (CHEIF OF MEDICINE)
- **Authorized official phone:** (585) 922-4234

## Contact information

- **Practice address:** 1425 PORTLAND AVE, BOX 247, ROCHESTER, NY 14621-3001
- **Practice address phone:** (585) 922-4894
- **Practice address fax:** (585) 922-4440
- **Mailing address:** 1425 PORTLAND AVE, BOX 247, ROCHESTER, NY 14621-3001
- **Mailing address phone:** (585) 922-4894
- **Mailing address fax:** (585) 922-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01478431 | — | NY |