Individual
ANNETTE M MEDINA-WALPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-6351
(585) 760-6376
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 760-6351
(585) 276-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210187
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
210187
NY
Other
Enumeration date
07/14/2006
Last updated
07/03/2023
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