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Organization

WEST RIDGE OBSTETRICS & GYNECOLOGY, LLP

Active
Parent organization
WEST RIDGE OBSTETRICS & GYNECOLOGY, LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST RIDGE OBSTETRICS & GYNECOLOGY, LLP
Authorized official
CHRISTOPHER J LESTORTI (PRACTICE ADMINISTRATOR)
(585) 720-8900
Entity
Organization

Contact information

Practice address
3101 W RIDGE RD, BLDG D, ROCHESTER, NY 14626-3249
(585) 225-1580
(585) 225-2040
Mailing address
3101 W RIDGE RD, BLDG D, ROCHESTER, NY 14626-3249
(585) 225-1580
(585) 225-2040

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0700602
NY
291U00000X
Clinical Medical Laboratory
33D0884731
NY
291U00000X
Clinical Medical Laboratory
33D2030621
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992897409
TYPE 1 NPI #
NY
01
207V00000X
TAXONOMY CODE MD
NY
01
363LX0001X
TAXONOMY CODE NP
NY
Enumeration date
04/23/2012
Last updated
04/23/2012
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