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Individual

ANTHONY RAGUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 STONE RD, SUITE 200, ROCHESTER, NY 14615
(585) 672-4700
(585) 672-4700
Mailing address
1401 STONE RD, SUITE 200, ROCHESTER, NY 14615
(585) 672-4700
(585) 672-4700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200136
NY
207R00000X
Internal Medicine Physician
Primary
NY200136
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01665190
NY
01
110141246
MEDICARE RR
Enumeration date
03/10/2006
Last updated
01/09/2022
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