Organization
BROCKPORT INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ GARG M.D. (PRESIDENT)
(585) 637-2161
Entity
Organization
Contact information
Practice address
34 WEST AVE, BROCKPORT, NY 14420-1304
(585) 637-2161
(585) 637-5819
Mailing address
34 WEST AVE, BROCKPORT, NY 14420-1304
(585) 637-5819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199906
NY
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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