Provider Demographics
NPI:1639117914
Name:POSNICK, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:POSNICK
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 1:880 WESTFALL RD
Mailing Address - Street 2:STE A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2611
Mailing Address - Country:US
Mailing Address - Phone:585-271-2022
Mailing Address - Fax:585-473-5864
Practice Address - Street 1:880 WESTFALL RD
Practice Address - Street 2:STE A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2611
Practice Address - Country:US
Practice Address - Phone:585-271-2022
Practice Address - Fax:585-473-5864
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219826207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P010219826OtherBLUE CHOICE
NY02471869Medicaid
117611CUOtherPREFERRED CARE
RA9064Medicare ID - Type Unspecified
117611CUOtherPREFERRED CARE