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Individual

DR. BRUCE K HIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1726 E RIDGE RD, ROCHESTER, NY 14622-2157
(585) 266-8220
(585) 266-4491
Mailing address
800 CARTER ST, ATTN KELLY STEELE, ROCHESTER, NY 14621
(585) 266-8220
(585) 336-4845

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1914671
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027293701
UNIVERA #
NY
01
0192675
IHA #
NY
01
080096062
MEDICARE RAILROAD #
NY
01
101452BF
PREFERRED CARE #
NY
01
191467-0B
WORKERS COMP #
NY
01
4390
SIDNEY HILLMAN #
NY
01
P010191467
BLUE CHOICE #
NY
Enumeration date
05/23/2006
Last updated
01/14/2008
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