Individual
DR. JEREMY THOMAS CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
EMERGENCY MEDICINE, 601 ELMWOOD AVENUE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Mailing address
EMERGENCY MEDICINE, 601 ELMWOOD AVENUE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
238824
NY
207P00000X
Emergency Medicine Physician
D0061429
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381221900
—
MD
Enumeration date
06/30/2006
Last updated
07/05/2023
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