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Individual

DR. GERALD J CONEZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1331 EAST VICTOR. ROAD., VICTOR, NY 14564
(585) 924-7667
(315) 295-2128
Mailing address
P.O. BOX 584, CLIFTON SPRINGS, NY 14432
(315) 906-4201
(315) 906-4205

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125874
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00485387
NY
01
0948
BC/BS ROCHESTER NY
01
1007358J
PREFERRED CARE ROCHESTER
01
4587219
AETNA INSURANCE
01
P010125874
BLUE CHOICE ROCHESTER NY
Enumeration date
05/24/2006
Last updated
12/20/2012
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