Individual
GARNETTA MCCOY ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3170 WEST ST, CANANDAIGUA, NY 14424-1712
(585) 396-6190
(585) 396-6191
Mailing address
12 SAVANNAH CT, ROCHESTER, NY 14625-2926
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
157013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01577664
—
NY
01
—
101048CD
PREFERRED CARE
NY
01
—
P010157013
EXCELLUS
NY
Enumeration date
08/29/2006
Last updated
07/09/2007
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