Provider Demographics
NPI:1477294015
Name:LOGOSH, A JOSEPH FRANK (MD)
Entity Type:Individual
Prefix:
First Name:A JOSEPH
Middle Name:FRANK
Last Name:LOGOSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2239
Mailing Address - Country:US
Mailing Address - Phone:585-975-9404
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE # 681
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-1200
Practice Address - Fax:585-276-4013
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program