Individual
RICHARD V WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
84 CANAL ST, BIG FLATS, NY 14814-0448
(607) 301-4141
(607) 301-4140
Mailing address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 340-8950
(585) 442-3824
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
199166
NY
2084N0400X
Neurology Physician
199166-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968552
—
NY
Enumeration date
02/28/2006
Last updated
02/29/2012
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