Individual
GARY JOHN NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 W JEFFERSON RD STE 400, PITTSFORD, NY 14534-1090
(585) 427-9950
(585) 424-1013
Mailing address
2300 W JEFFERSON RD STE 400, PITTSFORD, NY 14534-1090
(585) 427-9950
(585) 424-2788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
268181
NY
363AM0700X
Medical Physician Assistant
268181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03532890
—
NY
Enumeration date
05/17/2006
Last updated
07/07/2023
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