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Organization

GENESEE VALLEY PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASEER A TAHIR M.D. (OWNER)
(585) 271-4280
Entity
Organization

Contact information

Practice address
2050 S CLINTON AVE, ROCHESTER, NY 14618-5727
(585) 271-4280
(585) 271-4311
Mailing address
2050 SOUTH CLINTON AVENUE, ROCHESTER, NY 14618
(585) 271-4280
(585) 271-4311

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
130235
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100772AH
PREFERRED CARE
NY
01
G0185496590
BLUE CHOICE
NY
Enumeration date
05/29/2009
Last updated
12/18/2009
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