Individual
MARGUERITE DYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 PORTLAND AVE, SUITE 245, ROCHESTER, NY 14621-3038
(585) 922-4715
(585) 922-3950
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
(585) 922-3950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
131974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00694197
—
NY
01
—
0763
BLUE CROSS BLUE SHIELD
NY
01
—
100796FL
PREFERRED CARE
NY
01
—
5400339
AETNA
NY
01
—
P010131974
BLUE CHOICE
NY
Enumeration date
07/03/2006
Last updated
02/05/2019
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