Provider Demographics
NPI:1366636458
Name:BELL, DEREK E (MD)
Entity Type:Individual
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First Name:DEREK
Middle Name:E
Last Name:BELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 661
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-8410
Mailing Address - Country:US
Mailing Address - Phone:585-275-1000
Mailing Address - Fax:585-276-1985
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 661
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-8410
Practice Address - Country:US
Practice Address - Phone:585-275-1000
Practice Address - Fax:585-276-1985
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
NY253388208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03125344Medicaid
NYJ400005170Medicare PIN