Organization
DELPHI EMERGENCY PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DAVIS RN, BSN. (BILLING/CODING MANAGER)
(585) 690-8862
Entity
Organization
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 247-9040
(585) 697-0221
Mailing address
1160 CHILI AVENUE STE. 200, ROCHESTER, NY 14624-3035
(585) 247-9040
(585) 697-0221
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783035
—
NY
01
—
DE8587
RAILRAOD
—
01
—
GRP005133531
BCBS
NY
Enumeration date
06/14/2006
Last updated
12/08/2008
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