Organization
DIGESTIVE CENTER OF WESTERN NYI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A GOLDSTEIN MD (PRESIDENT)
(585) 336-5119
Entity
Organization
Contact information
Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 336-5119
(585) 336-5113
Mailing address
1415 PORTLAND AVENUE, ROCHESTER, NY 14621-3047
(585) 336-5119
(585) 336-5113
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
196712
NY
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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