Organization
COMPREHENSIVE DERMATOLOGY OF ROCHESTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANASI KADAM LADRIGAN MD (PHYSICIAN)
(585) 381-5800
Entity
Organization
Contact information
Practice address
135 SULLYS TRL, SUITE 7, PITTSFORD, NY 14534-4564
(585) 381-5800
(585) 348-9461
Mailing address
135 SULLYS TRL, SUITE 7, PITTSFORD, NY 14534-4564
(585) 381-5800
(585) 348-9461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2424371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J100078800
MEDICARE PTAN
NY
Enumeration date
08/28/2012
Last updated
05/15/2013
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