Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 262490 | NY |
NPI | 1033373758 |
---|---|
Provider Name | Dr. Brian Christopher Wood |
First Address | Rochester, NY 14623-4273 |
Second Address | Rochester, NY 14623-4273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 16/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03372525 | (05) | NY |