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Individual

GEORGE ALEXIS SIROTENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
995 SENATOR KEATING BLVD, BLDG E SUITE 3100, ROCHESTER, NY 14618
(585) 473-1750
(585) 473-4806
Mailing address
995 SENATOR KEATING BLVD, BLDG E SUITE 3100, ROCHESTER, NY 14618
(585) 473-1750
(585) 473-4806

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
198671
NY
207R00000X
Internal Medicine Physician
Primary
198671
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01674097
NY
Enumeration date
03/24/2006
Last updated
08/13/2015
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