Dale, Edith L

Dale, Edith L is an individual health care provider with primary practice located at 1815 S Clinton Ave Ste 620 , Rochester NY 14618-5723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dale, Edith L can be contacted via phone (585) 319-5354.

Contact Information

Primary practice address
1815 S Clinton Ave Ste 620 Rochester NY 14618-5723
Phone: (585) 319-5354
Fax: (833) 450-5339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 182523-1 New York

Profile Details

NPI number 1609876838
LBN Legal business name Dale, Edith L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609876838 NPPES
New York Other 5433322 AETNA
New York Other 101339BJ AETNA
New York MEDICAID 01404264 AETNA
New York Other P010182523 AETNA

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