Provider Demographics
NPI:1114252228
Name:DARRICK J. ALAIMO, MD, LLC
Entity Type:Organization
Organization Name:DARRICK J. ALAIMO, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ALAIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-254-1530
Mailing Address - Street 1:687 LEE RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4257
Mailing Address - Country:US
Mailing Address - Phone:585-254-1530
Mailing Address - Fax:585-254-1554
Practice Address - Street 1:687 LEE RD
Practice Address - Street 2:SUITE 109
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-4257
Practice Address - Country:US
Practice Address - Phone:585-254-1530
Practice Address - Fax:585-254-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212816-1261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG54426Medicare UPIN