Individual
GEORGE THATVIHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE # 655, ROCHESTER, NY 14642-0001
(585) 463-2940
Mailing address
112 ROBERT MICHAELS RUN, PENFIELD, NY 14526-9584
(315) 741-0778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
313888-01
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
313888-01
NY
Other
Enumeration date
05/02/2019
Last updated
02/17/2025
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