1164412870 NPI number — DR. AARON SATLOFF MD

Table of content: DR. AARON SATLOFF MD (NPI 1164412870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164412870 NPI number — DR. AARON SATLOFF MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SATLOFF
Provider First Name:
AARON
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164412870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24A GROVE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSFORD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14534-1333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-381-4547
Provider Business Mailing Address Fax Number:
585-381-4638

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24A GROVE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSFORD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14534-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-381-4547
Provider Business Practice Location Address Fax Number:
585-381-4638
Provider Enumeration Date:
10/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  086408 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 111478600 . This is a "WORKERS COMPENSATION DOL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 890021 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: P010086408 . This is a "EXCELLUS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3196541002 . This is a "VALUE OPTION GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5496365 . This is a "AETNA HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000917579001 . This is a "HEALTHNOW" identifier . This identifiers is of the category "OTHER".
  • Identifier: 449810 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100483EU . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9417154 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0985 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 109228 . This is a "MHN" identifier . This identifiers is of the category "OTHER".




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