Individual
ROGER VINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
170134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026570101
UNIVERA
NY
01
—
00091488002
BC/BS OF WESTERN NY
NY
05
—
01029689
—
NY
01
—
5171095
AETNA
NY
01
—
MDH646
PREFERRED CARE
NY
01
—
P00061801
MEDICARE RAILROAD
NY
01
—
P010170134
BLUE CHOICE
NY
Enumeration date
06/21/2006
Last updated
08/29/2011
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