# JAIMALA THANIK MD PLLC

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

## Provider details

- **NPI number:** 1881658060
- **Authorized official:** DR. JAIMALA THANIK MD (OWNER)
- **Authorized official phone:** (585) 244-7748

## Contact information

- **Practice address:** 990 SOUTH AVE, ROCHESTER, NY 14620-2740
- **Practice address phone:** (585) 244-7748
- **Practice address fax:** (585) 385-7610
- **Mailing address:** 790 LINDEN AVE, ROCHESTER, NY 14625-2716
- **Mailing address phone:** (585) 385-9030
- **Mailing address fax:** (585) 385-9124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 121860 | NY | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 12/20/2007