Organization
BLOSSOM ROAD MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BOEHLERT MD (PHYSICIAN)
(585) 482-1141
Entity
Organization
Contact information
Practice address
780 BLOSSOM RD, ROCHESTER, NY 14610-1914
(585) 482-1141
(585) 270-4153
Mailing address
780 BLOSSOM RD, ROCHESTER, NY 14610-1914
(585) 482-1141
(585) 270-4153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457343972
NPI 1
NY
Enumeration date
10/27/2014
Last updated
06/14/2023
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