Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 291177 | NY |
NPI | 1023464203 |
---|---|
Provider Name | Scott Joseph Biehl |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14626-4114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2016 |
Last Update Date | 27/04/2021 |