Individual
BRIDGETTE ANN WIEFLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4430
(585) 922-1399
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4430
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236522
NY
208000000X
Pediatrics Physician
236522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01130026/RGH
—
NY
05
—
01131126/RGH
—
NY
05
—
03007072/OPD
—
NY
05
—
03406397/WNY
—
NY
01
—
172800BJ
PREFERRED CARE
NY
05
—
236522
—
NY
01
—
P010236522
BLUE CROSS OF ROCHESTER
NY
Enumeration date
08/17/2006
Last updated
04/30/2021
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