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Contact Information

GENESEE VASCULAR LABORATORY, INC.
2060 FAIRPORT NINE MILE POINT RD
SUITE 400
PENFIELD, NY14526-1749
 Phone: 585-454-6610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for GENESEE VASCULAR LABORATORY INC · (Female)

NPI # 1003175563
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2012
Last updated 07/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 03158289
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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