Individual
MR. DAVID MICHAEL KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14 BLUE RIDGE TRL, ROCHESTER, NY 14624-4937
(585) 922-4000
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001460
NY
Other
Enumeration date
06/16/2008
Last updated
12/01/2009
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