Organization
ROCHESTER DERMATOLOGIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIF F IBRAHIM MD (OWNER)
(206) 915-3484
Entity
Organization
Contact information
Practice address
7400 PITTSFORD VICTOR RD, VICTOR, NY 14564-9725
(585) 222-1400
(585) 222-1414
Mailing address
7400 PITTSFORD VICTOR RD, VICTOR, NY 14564-9725
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/29/2019
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