Provider Demographics
NPI:1649209271
Name:RAPOZA, PAUL A (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:RAPOZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 W RIDGE RD
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2800
Mailing Address - Country:US
Mailing Address - Phone:585-453-0334
Mailing Address - Fax:585-453-9166
Practice Address - Street 1:2300 W RIDGE RD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2800
Practice Address - Country:US
Practice Address - Phone:585-453-0334
Practice Address - Fax:585-453-9166
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2009-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY147406207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH70006AMedicare PIN
NYJ400002869Medicare PIN
NYB72211Medicare UPIN