Disalle, Michael

Disalle, Michael is an individual health care provider with primary practice located at 1561 Long Pond Road Suite #206, Rochester NY 14626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Disalle, Michael can be contacted via phone (585) 368-4000.

Contact Information

Primary practice address
1561 Long Pond Road Suite #206 Rochester NY 14626
Phone: (585) 368-4000
Fax: (585) 368-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 197073 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 197073 New York

Profile Details

NPI number 1487681219
LBN Legal business name Disalle, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487681219 NPPES
New York MEDICAID 01658608
New York Other 110225075

Popular Providers