Organization
SOUTHERN TIER CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED ASIF A SHAH MD (OWNER)
(585) 729-4004
Entity
Organization
Contact information
Practice address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
220900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220900
LICENSE
—
Enumeration date
04/28/2011
Last updated
05/14/2011
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