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Organization

CANANDAIGUA ORTHOPAEDIC ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GILLIAN FLYNN CMM (OFFICE MANAGER)
(585) 394-1960
Entity
Organization

Contact information

Practice address
229 PARRISH ST, SUITE 100, CANANDAIGUA, NY 14424-1791
(585) 394-1960
(585) 393-9232
Mailing address
514 S MAIN ST, SUITE A, CANANDAIGUA, NY 14424-2203
(585) 394-1960
(585) 393-9232

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0058034
GHI
NY
05
01149577
NY
01
0186584370
EXCELLUS ROCHESTER MANAGE
NY
01
923295002
HEALTHNOW
NY
Enumeration date
07/19/2006
Last updated
06/28/2010
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