Individual
DR. DIRK M BERNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1618
(585) 475-8700
(585) 475-9411
Mailing address
211 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1618
(585) 475-8700
(585) 475-9411
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
239535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02769937
—
NY
05
—
869605500
—
MN
01
—
P00335437
RAIL ROAD MEDICARE
NY
Enumeration date
02/17/2006
Last updated
07/05/2023
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