Organization
CANANDAIGUA MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE L BABCOCK (HUMAN RESOURCE MANAGER)
(585) 393-2888
Entity
Organization
Contact information
Practice address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Mailing address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207V00000X
Obstetrics & Gynecology Physician
—
NY
208000000X
Pediatrics Physician
—
NY
208600000X
Surgery Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00458017
—
NY
Enumeration date
07/28/2005
Last updated
09/11/2025
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