Individual
JOSEPH D HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7870
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.076782
IL
207R00000X
Internal Medicine Physician
328839
NY
207R00000X
Internal Medicine Physician
332372
LA
208M00000X
Hospitalist Physician
Primary
328839
NY
Other
Enumeration date
06/08/2020
Last updated
10/01/2024
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