Organization
GREECE DERMATOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOBROW MD (PARTNER)
(585) 719-9600
Entity
Organization
Contact information
Practice address
120 ERIE CANAL DR STE 200, ROCHESTER, NY 14626-4609
(585) 719-9600
(585) 719-9872
Mailing address
120 ERIE CANAL DR STE 200, ROCHESTER, NY 14626-4609
(585) 719-9600
(585) 719-9872
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0189126590
EXCELLUS GROUP ID
NY
Enumeration date
10/04/2006
Last updated
11/10/2023
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