Individual
ALEXIE PURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3469
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1469
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
249458
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
249458
NY
Other
Enumeration date
08/21/2008
Last updated
09/30/2013
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