Provider Demographics
NPI:1235110032
Name:JULES MUSINGER MD PC
Entity Type:Organization
Organization Name:JULES MUSINGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULES
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-225-5900
Mailing Address - Street 1:121 ERIE CANAL DR
Mailing Address - Street 2:STE E
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4605
Mailing Address - Country:US
Mailing Address - Phone:585-225-5900
Mailing Address - Fax:585-225-6574
Practice Address - Street 1:121 ERIE CANAL DR
Practice Address - Street 2:STE E
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4605
Practice Address - Country:US
Practice Address - Phone:585-225-5900
Practice Address - Fax:585-225-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080651207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00451969Medicaid
NYP01006051OtherBCBS ROCHESTER
NYP102088OtherPREF CARE
NYB71751Medicare UPIN
NYP102088OtherPREF CARE