Individual
BRIAN D DILLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
880 WESTFALL RD, STE A, ROCHESTER, NY 14618-2611
(585) 271-2022
(585) 473-5864
Mailing address
880 WESTFALL RD, STE A, ROCHESTER, NY 14618-2611
(585) 271-2022
(585) 473-5864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003601-1
NY
363A00000X
Physician Assistant
3601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109072CU
PREFERRED CARE
NY
01
—
P019003601
BLUE CHOICE
NY
Enumeration date
08/10/2006
Last updated
07/05/2023
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