Individual
DMITRIY MIGDALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 SOUTH AVE # 58, ROCHESTER, NY 14620-2733
(585) 341-6776
Mailing address
1000 SOUTH AVE # 58, ROCHESTER, NY 14620-2733
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
282359
NY
363AS0400X
Surgical Physician Assistant
282359
NY
Other
Enumeration date
04/04/2013
Last updated
07/07/2023
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