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Organization

WESTSIDE PODIATRY GROUP LLC

Active
Other names
Westside podiatry group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ERIC TELLEM DPM (PODIATRIST)
(585) 247-2170
Entity
Organization

Contact information

Practice address
507 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 247-2170
(585) 247-3614
Mailing address
507 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 247-2170
(585) 247-3614

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04203316
NY
Enumeration date
12/08/2016
Last updated
10/16/2025
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