Individual
THERESA A BINGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 ALEXANDER ST, ROCHESTER, NY 14607-4039
(585) 922-8350
Mailing address
222 ALEXANDER ST, ROCHESTER, NY 14607-4039
(585) 922-8350
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
222641
NY
2080P0201X
Pediatric Allergy/Immunology Physician
222641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797771
—
NY
Enumeration date
12/21/2005
Last updated
07/06/2023
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