Individual
DR. KEVIN G. IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2734
(585) 273-1033
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2734
(585) 273-1033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
003253
NY
Other
Enumeration date
12/04/2008
Last updated
07/09/2009
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