Svoboda, Jerry Joseph

Svoboda, Jerry Joseph is an individual health care provider with primary practice located at 2655 Ridgeway Ave Suite 240, Rochester NY 14626-4296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Svoboda, Jerry Joseph can be contacted via phone (585) 723-7060.

Contact Information

Primary practice address
2655 Ridgeway Ave Suite 240 Rochester NY 14626-4296
Phone: (585) 723-7060
Fax: (585) 723-7325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 158142 New York

Profile Details

NPI number 1295837227
LBN Legal business name Svoboda, Jerry Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Dec 30th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295837227 NPPES
New York MEDICAID 00833505

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