Provider Demographics
NPI:1598763690
Name:BESSETTE, GARY C (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:C
Last Name:BESSETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 HAGEN DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2657
Mailing Address - Country:US
Mailing Address - Phone:585-218-0708
Mailing Address - Fax:585-267-4037
Practice Address - Street 1:20 HAGEN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2657
Practice Address - Country:US
Practice Address - Phone:585-218-0708
Practice Address - Fax:585-267-4037
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2017-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY199426207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY199426OtherLICENSE
NY199426OtherLICENSE