Individual
RODOLFO QUEIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 NORTH ST, GENEVA, NY 14456-1651
(315) 787-5399
(315) 787-5391
Mailing address
PO BOX 8000, DEPT. 044, BUFFALO, NY 14267-0002
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056533A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01982672
—
NY
01
—
P010199480
EXCELLUS - BC ROCHESTER
NY
Enumeration date
01/24/2006
Last updated
09/12/2011
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