Individual
JAMES MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 RIDGE RD E, ROCHESTER, NY 14621-1229
(585) 922-1122
(585) 922-2664
Mailing address
490 RIDGE RD E, ROCHESTER, NY 14621-1229
(585) 922-1122
(585) 922-2664
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
224056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02281056
—
NY
01
—
3160
BLUE SHIELD
—
01
—
MDH111
PREFERRED CARE
—
01
—
P030224056
EXCELLUS
—
Enumeration date
10/05/2006
Last updated
05/29/2008
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