Individual
DR. CARL RICHARD MAGNUSSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S AVE, ROCHESTER, NY 14620-2733
(585) 341-6867
(585) 341-8205
Mailing address
BOX 57, 1000 S AVE, ROCHESTER, NY 14620-2733
(585) 341-6867
(585) 341-8205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
122394
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
122394
NY
207RI0200X
Infectious Disease Physician
122394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456271
—
NY
01
—
1007058Y
PREFERRED CARE
NY
Enumeration date
05/25/2006
Last updated
09/11/2025
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