GENESEE VASCULAR LABORATORY, INC. (NPI# 1003175563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003175563 |
| Entity Type | Organization |
| Organization Name | GENESEE VASCULAR LABORATORY, INC. |
| Practice Address |
2060 Fairport Nine Mile Point Rd Suite 400 Penfield NY 14526-1749 |
| Mailing Address |
919 Westfall Rd Ste B100 Rochester NY 14618-2628 |
| Practice Telephone | 5854546610 |
| Mailing Telephone | 5854546610 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | THOMAS E PENN (OWNER/DIRECTOR) |
| Authorized Official Telephone | 5854546610 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03158289 | 05 |
| Street Address |
2060 FAIRPORT NINE MILE POINT RD SUITE 400 |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326178906 | Frank Dominic Massaro | Dentist | 2060 Fairport Nine Mile Point Rd, Penfield, NY 14526-1749 | 2007-03-06 |
| 1366863250 | Sam Dirawi | Dentist | 2060 Fairport Nine Mile Point Rd, Penfield, NY 14526-1749 | 2013-12-19 |
| 1265661300 | Ahmed El-halaby | Dentist | 2060 Fairport Nine Mile Point Rd, Penfield, NY 14526-1749 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170445 | Nadine Alexandra Cunningham | Specialist/Technologist, Other | 49 Hampshire Way, Schenectady, NY 12309-1958 | 2020-09-25 |
| 1568096337 | Melissa Encarnacion | Specialist/Technologist, Other | 7 Fordham Hill Oval Apt 6f, Bronx, NY 10468-4834 | 2020-03-02 |
| 1275166597 | Saja Ababneh | Specialist/Technologist, Other | 17 Bay 34th St Apt 1r, Brooklyn, NY 11214-4208 | 2020-02-14 |
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1558928804 | Tara Rodie | Specialist/Technologist, Other | 1669 E 36th St, Brooklyn, NY 11234-4218 | 2019-05-22 |
| 1063078954 | Gina Mcmanus | Specialist/Technologist, Other | 7 High St Ste 201, Huntington, NY 11743-3417 | 2019-05-15 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1942762992 | Brendan Meade | Specialist/Technologist, Other | 317 Rose Ln, Smithtown, NY 11787-4419 | 2019-04-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.