Individual
M. GORDON WHITBECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2619 CULVER RD, ROCHESTER, NY 14609-1738
(585) 342-2410
(585) 342-9141
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
(585) 922-0496
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
167261
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
167261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422691
—
NY
Enumeration date
06/30/2005
Last updated
05/05/2021
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