Dr. Gary B Tebor
Pediatric Orthopaedic Surgeon
30 Hagen Dr Ste 220
Rochester
, New York 14625-2658
Dr. Gary B Tebor
Pediatric Orthopaedic Surgeon
30 Hagen Dr Ste 220
Rochester
, New York 14625-2658
(585) 248-5106
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary B Tebor
- 30 Hagen Dr Ste 220
- Rochester, NY
- Zip : 14625-2658
- Fax : (585) 248-5106
- Phone : (585) 295-5476
Second Address
- Dr. Gary B Tebor
- 30 Hagen Dr Ste 220
- Rochester, NY
- Zip : 14625-2658
- Fax : (585) 248-5106
- Phone : (585) 295-5476
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 131222 | NY |
National Provider Identifier
| NPI | 1679515399 |
|---|---|
| Provider Name | Dr. Gary B Tebor |
| First Address | Rochester, NY 14625-2658 |
| Second Address | Rochester, NY 14625-2658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2006 |
| Last Update Date | 13/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A38354 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.