Dmochowski, Thaddeus Jeffrey

Dmochowski, Thaddeus Jeffrey is an individual health care provider with primary practice located at 1736 Ridge Rd E , Rochester NY 14622-2157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dmochowski, Thaddeus Jeffrey can be contacted via phone (585) 266-8401.

Contact Information

Primary practice address
1736 Ridge Rd E Rochester NY 14622-2157
Phone: (585) 266-8401
Fax: (585) 255-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 123719 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 123719 New York

Profile Details

NPI number 1033179445
LBN Legal business name Dmochowski, Thaddeus Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1033179445 NPPES
New York Other MD4891 PREFERRED CARE
New York MEDICAID 00609036 PREFERRED CARE
New York Other 4471447 PREFERRED CARE

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