Individual
AUSTIN LEE TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642
(585) 463-2940
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-0001
(585) 275-9555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS020602
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
08/04/2020
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