Individual
DR. EMOGENE H BEDROSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98 STOESSEL AVE., CHAUTAUQUA, NY 14722-0451
(716) 753-2061
(716) 753-2062
Mailing address
PO BOX 451, 98 STOESSEL AVE, CHAUTAUQUA, NY 14722-0451
(716) 753-2061
(716) 753-2062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101222151
VA
207P00000X
Emergency Medicine Physician
149180
NY
207P00000X
Emergency Medicine Physician
25MA07033400
NJ
207P00000X
Emergency Medicine Physician
Primary
89323
OH
207P00000X
Emergency Medicine Physician
D0022869
MD
207P00000X
Emergency Medicine Physician
MD 021439 E
PA
207P00000X
Emergency Medicine Physician
ME81145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000162489
ANTHEM
OH
01
—
000000268968
ANTHEM
OH
01
—
000000381808
ANTHEM
OH
05
—
2781664
—
OH
01
—
N409522
WELLCARE
OH
Enumeration date
12/05/2005
Last updated
09/19/2011
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