Individual
TERRANCE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 LONG POND RD, EMERGENCY CENTER PARK RIDGE HOSPITAL, ROCHESTER, NY 14626-4122
(585) 723-7070
(585) 723-7045
Mailing address
1555 LONG POND RD, EMERGENCY CENTER PARK RIDGE HOSPITAL, ROCHESTER, NY 14626-4122
(585) 723-7070
(585) 723-7045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
162088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01173931
—
NY
01
—
162088-9W CEM
WORKER'S COMP
NY
Enumeration date
07/07/2006
Last updated
03/30/2015
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