Provider Demographics
NPI:1295764538
Name:SYMER, DONALD G JR (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:G
Last Name:SYMER
Suffix:JR
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 1:959 PANORAMA TRL S STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2311
Mailing Address - Country:US
Mailing Address - Phone:585-276-9361
Mailing Address - Fax:585-248-3703
Practice Address - Street 1:959 PANORAMA TRL S STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2311
Practice Address - Country:US
Practice Address - Phone:585-276-9361
Practice Address - Fax:585-248-3703
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY151177207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00914847Medicaid
NYP01677060OtherMEDICARE RR
NYJ400183443/GRPBA0017Medicare PIN
NY00914847Medicaid