Individual
DR. VITHAL VIC VERNENKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 922-2473
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1469
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
223396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02316741
—
NY
Enumeration date
07/26/2006
Last updated
05/14/2021
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