Individual
MR. VINCENT EVAN DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-1577
Mailing address
173 MEADOWBROOK RD, ROCHESTER, NY 14620-3031
(315) 956-1440
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
023822
NY
363A00000X
Physician Assistant
23822
NY
Other
Enumeration date
08/09/2019
Last updated
06/30/2023
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