Individual
BERNARD ELLIS SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 WINTON ROAD SOUTH, ROCHESTER, NY 14618
(585) 427-7760
(585) 427-2193
Mailing address
2021 WINTON ROAD SOUTH, ROCHESTER, NY 14618
(585) 427-7760
(585) 427-2193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1359781
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
1359781
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
1359781
NY
Other
Enumeration date
06/09/2006
Last updated
10/31/2008
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