Individual
BRETT C SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HAGEN DR STE 220, ROCHESTER, NY 14625-2664
(585) 922-9770
(585) 922-9733
Mailing address
20 HAGEN DR STE 220, ROCHESTER, NY 14625-2664
(585) 922-9770
(585) 922-9733
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
152624
NY
207N00000X
Dermatology Physician
70092
MN
207N00000X
Dermatology Physician
LT4168
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026872101
UNIVERA #
NY
05
—
01684757
—
NY
01
—
0314096
IHA #
NY
01
—
102424AP
PREFERRED CARE #
NY
01
—
152624-3W
WORKERS COMP #
NY
01
—
7891
SIDNEY HILLMAN #
NY
01
—
P00142333
MEDICARE RAILROAD #
NY
01
—
P010152624
BLUE CHOICE #
NY
Enumeration date
06/17/2006
Last updated
11/09/2021
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