Organization
PILLAR MEDICAL ASSOCIATES, P.C.
Active
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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