Organization
INTERNAL MEDICINE ON EAST RIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA JEAN IANNUCCI M.D. (PHYSICIAN OWNER)
(585) 697-7775
Entity
Organization
Contact information
Practice address
1880 EAST RIDGE ROAD, SUITE 5, ROCHESTER, NY 14622
(585) 697-7775
(585) 697-7776
Mailing address
1880 EAST RIDGE ROAD, SUITE 5, ROCHESTER, NY 14622
(585) 697-7775
(585) 697-7776
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
196460
NY
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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