Organization
IGNITE WELLNESS MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN H COHEN M.D. (MEDICAL/LABORATORY DIRECTOR)
(585) 248-8720
Entity
Organization
Contact information
Practice address
1150 PITTSFORD VICTOR RD STE G, PITTSFORD, NY 14534-3838
(585) 248-8720
Mailing address
1150 PITTSFORD VICTOR RD STE G, PITTSFORD, NY 14534-3838
(585) 248-8720
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
T634
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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