Individual
DR. MICHAEL EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-4007
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-4007
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
198833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040396501
UNIVERA PROV#
NY
05
—
00372225
—
NY
05
—
01566141
—
NY
01
—
050038323
RAILROAD MEDICARE PROV#
NY
01
—
2222
BLUE SHIELD GROUP#
NY
01
—
4620064
AETNA PROV#
NY
01
—
5399015
GHI PROVIDER#
NY
01
—
G0189393590
BLUE CHOICE GROUP#
NY
01
—
P010198833
BLUE CHOICE PROV#
NY
Enumeration date
07/17/2006
Last updated
07/05/2023
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