Individual
LEO F STORNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 CARTER ST, ROCHESTER, NY 14621-2604
(585) 342-9514
(585) 544-1742
Mailing address
800 CARTER ST, ROCHESTER, NY 14621-2604
(585) 342-9514
(585) 544-1742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027230101
UNIVERA #
NY
01
—
0114025
IHA #
NY
01
—
060329000059
FIDELIS CARE #
NY
01
—
075335-0B
WORKERS COMP #
NY
01
—
100441BF
PREFERRED CARE #
NY
01
—
8520
SIDNEY HILLMAN #
NY
01
—
P010075335
BLUE CHOICE #
NY
Enumeration date
05/23/2006
Last updated
09/18/2013
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