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Organization

PILLAR MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVE SCOFIELD (MEDICAL PRACTICE ADMINISTRATOR)
(585) 697-6411
Entity
Organization

Contact information

Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6413
(585) 342-9166
Mailing address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6413
(585) 342-9166

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102536BJ
UNDER PRAC TAX ID
NY
01
G0181380590
BLUE CHOICE GROUP NUMBER
NY
01
P040170341
BLUE SHIELD PROV NUMBER
NY
Enumeration date
11/02/2006
Last updated
03/02/2018
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