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Individual

DR. RALPH SAVERIO VIOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1157 FAIRPRT RD., SUITE 201, FAIRPORT, NY 14450-1237
(585) 586-9900
(585) 586-7700
Mailing address
1157 FAIRPORT RD., SUITE 201, FAIRPORT, NY 14450-1237
(585) 586-9900
(585) 586-7700

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
186723-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C0524035003
COMMUNITY BLUE
NY
01
102676
PREFERRED CARE
NY
01
260033487
TAX ID
NY
01
P010186723
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
05/24/2006
Last updated
03/03/2009
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