Individual
MICHAEL EDWARD FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1565 LONG POND RD, UNITY CHEMICAL DEPENDENCY, ROCHESTER, NY 14626-4122
(585) 723-7723
(585) 723-7074
Mailing address
1565 LONG POND RD, UNITY CHEMICAL DEPENDENCY, ROCHESTER, NY 14626-4122
(585) 723-7723
(585) 723-7074
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
155520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00841685
—
NY
01
—
J400081447
MEDICARE GROUP J100044293
NY
Enumeration date
09/17/2006
Last updated
02/28/2013
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