Noronha, Gary John
Noronha, Gary John is an individual health care provider with primary practice located at 2300 W Jefferson Rd Ste 400 , Pittsford NY 14534-1090. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Noronha, Gary John can be contacted via phone (585) 427-9950.Contact Information
Primary practice address
2300 W Jefferson Rd Ste 400
Pittsford NY 14534-1090
Phone: (585) 427-9950
Fax: (585) 424-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 268181 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 268181 | New York |
Profile Details
| NPI number | 1649222704 |
|---|---|
| LBN Legal business name | Noronha, Gary John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649222704 | NPPES |
| New York | MEDICAID | 03532890 |
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