Individual
EMELIE BADILLO DUMITRESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Mailing address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250989
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
250989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03061570
—
NV
01
—
P00775320
MEDICARE RAILROAD
NY
Enumeration date
01/02/2007
Last updated
07/26/2010
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