Individual
DR. ANTHONY EIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2180 S CLINTON AVE, ROCHESTER, NY 14618
(585) 276-2616
(585) 473-1691
Mailing address
601 ELMWOOD AVE BOX 670, ROCHESTER, NY 14642-0001
(585) 276-3616
(585) 276-2114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
287394
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
287394
NY
208VP0000X
Pain Medicine Physician
287394
NY
208VP0014X
Interventional Pain Medicine Physician
287394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043682106
—
NY
Enumeration date
07/06/2006
Last updated
06/29/2023
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