Organization
ROCHESTER SKIN LYMPHOMA MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN POLIGONE MD, PHD (PHYSICIAN)
(585) 364-1177
Entity
Organization
Contact information
Practice address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 364-1177
Mailing address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 364-1177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
248958
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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