Individual
CAROLYN LEE MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 254-1092
Mailing address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 254-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
135739
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258286
—
NY
01
—
080130761
RAILROAD MEDICARE
NY
01
—
102305BF
PREFERRED CARE
NY
05
—
135739
—
NY
01
—
6906
BLUE CROSS OF ROCHESTER
NY
01
—
P010135739
BLUE CHOICE
NY
Enumeration date
07/19/2006
Last updated
07/09/2007
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