Organization
JAIMALA THANIK MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIMALA THANIK MD (OWNER)
(585) 244-7748
Entity
Organization
Contact information
Practice address
990 SOUTH AVE, ROCHESTER, NY 14620-2740
(585) 244-7748
(585) 385-7610
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
121860
NY
Other
Enumeration date
04/14/2006
Last updated
12/20/2007
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