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Individual

DR. ROY S. WIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
154673
NY
207UN0901X
Nuclear Cardiology Physician
154673
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000268641
UNITED HEALTHCARE
01
000525143003
HEALTH NOW LINDEN OAKS
01
005251432
COMM BLUE BCBSWNY
05
01066742
NY
01
060047208
RAILROAD MEDICARE
01
301136
WELLCARE
01
4594557
AETNA
01
6890
BLUE CROSS BLUE SHIELD
01
7701248
MVP
01
9680833
GHI
01
MDC189
PREFERRED CARE
01
PO10154373
EXCELLUS
01
PO10154673
GRIPA
01
RC60154673
RCIPA
Enumeration date
03/31/2006
Last updated
06/29/2023
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