Individual
JORGE R RISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2530
(585) 273-1026
Mailing address
601 ELMWOOD AVE BOX 673, ROCHESTER, NY 14642-0001
(585) 275-0800
(585) 273-1026
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
287774
NY
363AM0700X
Medical Physician Assistant
287774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05282040
—
NY
Enumeration date
04/05/2013
Last updated
07/07/2023
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