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Individual

DR. STEPHEN JOHN XENIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1716 RIDGE RD E, ROCHESTER, NY 14622-2157
(585) 544-7320
(585) 544-9762
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 544-7320
(585) 544-9762

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
145255
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010145255
BLUE CHOICE
NY
01
0859
BLUE SHIELD
NY
01
MD4C50
PREFERRED CARE
NY
Enumeration date
09/23/2006
Last updated
04/27/2021
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