Individual
PAUL S DZIWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CLINTON AVE SOUTH, ROCHESTER, NY 14618
(585) 271-2800
(585) 271-0375
Mailing address
2080 CLINTON AVE SOUTH, ROCHESTER, NY 14618
(585) 271-2800
(585) 271-0375
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
169747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000919374001
HEALTH NOW
—
05
—
01278404
—
NY
01
—
100016850
MEDICARE RAILROA
—
01
—
101178BT
PREFERRED CARE
—
01
—
2692405
AETNA
—
01
—
4V2821
EMPIRE
—
01
—
5149341
AETNA
—
01
—
7702333
MVP
—
01
—
P010169747
EXCELLUS
—
01
—
P020169747
EXCELLUS
—
Enumeration date
11/28/2005
Last updated
12/08/2015
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