Individual
DR. EVELYN S BROIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2066 HUDSON AVE, ROCHESTER, NY 14617-4300
(585) 922-2800
(585) 922-2866
Mailing address
2250 TURK HILL RD, VICTOR, NY 14564
(585) 425-2820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01674042
—
NY
Enumeration date
08/31/2005
Last updated
07/24/2009
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