Organization
LOYOLA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L PARTRIDGE (VICE PRESIDENT ADMINISTRATION)
(585) 451-8011
Entity
Organization
Contact information
Practice address
1160 PITTSFORD VICTOR RD STE G, PITTSFORD, NY 14534-3825
(585) 203-1005
(585) 203-1013
Mailing address
1160 PITTSFORD VICTOR RD STE G, PITTSFORD, NY 14534-3825
(585) 203-1005
(585) 203-1013
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
099098
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
114313
NY
2084P0800X
Psychiatry Physician
222626
NY
Other
Enumeration date
09/11/2008
Last updated
11/17/2008
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