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Individual

DR. DREW T EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3509 THOMAS DR, SUITE 4, LAKEVILLE, NY 14480-9758
(585) 346-3660
(585) 346-0574
Mailing address
601 ELMWOOD AVE, BOX 278980, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227933
NY
207Q00000X
Family Medicine Physician
Primary
227933-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MDJ149
PREFERRED C ARE
NY
01
P00683942
MEDICARE RAILROAD
NY
01
P010227933
BLUE CHOICE
NY
Enumeration date
06/28/2006
Last updated
07/05/2023
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