Individual
DR. EDUARDO E AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITAL, ROCHESTER, NY 14621-3001
(585) 922-4121
(585) 922-4128
Mailing address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITAL, ROCHESTER, NY 14621-3001
(585) 922-4121
(585) 922-4128
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
135823
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
135823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00054386
VOW RAILROAD MEDICARE
NY
01
—
P00159853
RGH RAILROAD MEDICARE
NY
Enumeration date
10/05/2006
Last updated
05/18/2012
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