Geisbuesch, Judith Dildine

Geisbuesch, Judith Dildine is an individual health care provider with primary practice located at 6720 Pittsford Palmyra Rd , Fairport NY 14450-3344. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Geisbuesch, Judith Dildine can be contacted via phone (585) 223-1460.

Contact Information

Primary practice address
6720 Pittsford Palmyra Rd Fairport NY 14450-3344
Fax: (585) 223-5139
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 035365 New York

Profile Details

NPI number 1386825875
LBN Legal business name Geisbuesch, Judith Dildine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 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 1386825875 NPPES
New York MEDICAID 00446942

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