Individual
DENISA SLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 429-2353
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 429-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260631
NY
207ZH0000X
Hematology (Pathology) Physician
260631
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
260631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03716218
—
NY
01
—
P01620168
MEDICARE RR
NY
Enumeration date
07/14/2010
Last updated
04/06/2020
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