Provider Demographics
NPI:1275514515
Name:CIMINO, EUGENE ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:ANTHONY
Last Name:CIMINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 BUFFALO RD
Mailing Address - Street 2:BLDG 700
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1360
Mailing Address - Country:US
Mailing Address - Phone:585-328-0153
Mailing Address - Fax:585-328-0158
Practice Address - Street 1:160 SAWGRASS DR
Practice Address - Street 2:STE 220
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4648
Practice Address - Country:US
Practice Address - Phone:585-244-2200
Practice Address - Fax:585-244-3416
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2009-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0895251207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
11217HMedicare PIN
B72013Medicare UPIN