Individual
JOHN JOSEPH WASENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0539
(585) 275-2734
Mailing address
601 ELMWOOD AVE BOX 648, ROCHESTER, NY 14642-0001
(585) 275-2734
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D0034591
MD
2085R0202X
Diagnostic Radiology Physician
Primary
1465081
NY
2085R0202X
Diagnostic Radiology Physician
D0034591
MD
Other
Enumeration date
07/26/2006
Last updated
11/03/2025
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