Individual
JOSE ANGEL ALCANTARA CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, RGH DEPT. OF MEDICINE, 5TH FLOOR, ROCHESTER, NY 14621
(585) 922-5067
Mailing address
1425 PORTLAND AVE, RGH DEPT. OF MEDICINE, 5TH FLOOR, ROCHESTER, NY 14621-3001
(585) 922-5067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
004054
NY
208M00000X
Hospitalist Physician
Primary
004054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03478017
—
NY
Enumeration date
07/08/2009
Last updated
12/13/2021
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