Individual
DR. DANIEL MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 764-6400
(585) 341-2370
Mailing address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 784-6400
(585) 341-2370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203492
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
203492
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
203492
NY
208M00000X
Hospitalist Physician
203492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01908718
—
NY
01
—
10475707
CAQH PROVIDER ID
—
Enumeration date
06/01/2006
Last updated
07/03/2023
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