Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irondequoit Internal Medicine

Organization Specialist · NPI 1245375708

Irondequoit Internal Medicine is a Specialist in Rochester, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

485 Titus Ave Ste H
Rochester, NY 14617-3544
Phone: (585) 338-2530
Fax: (585) 338-7304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 180528 (NY)

Record details

NPI number1245375708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larisa Khishchenko — Owner · (585) 338-2530
NPI enumeratedFebruary 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address485 Titus Ave Ste H, Rochester, NY 14617-3544

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