Individual
ALICE P PENTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7546
(585) 461-3509
Mailing address
601 ELMWOOD AVE, BOX 697, ROCHESTER, NY 14642-0001
(585) 275-7546
(585) 461-3509
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
205574
NY
207N00000X
Dermatology Physician
Primary
2055741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720474
—
NY
Enumeration date
06/30/2006
Last updated
06/30/2023
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