Individual
EDITH L DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1815 S CLINTON AVE STE 620, ROCHESTER, NY 14618-5723
(585) 319-5354
(833) 450-5339
Mailing address
1815 S CLINTON AVE STE 620, ROCHESTER, NY 14618-5723
(585) 319-5354
(833) 450-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
182523-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404264
—
NY
01
—
101339BJ
PREFERRED CARE
NY
01
—
5433322
AETNA
NY
01
—
P010182523
BLUE CHOICE
NY
Enumeration date
07/29/2005
Last updated
03/19/2024
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