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1376164624
MICHAEL SUPERDOCK
ROCHESTER, NY
NPI
1376164624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
MICHAEL SUPERDOCK MD
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-5681
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Mailing Address
MICHAEL SUPERDOCK MD
111 LENA ST APT 412
ITHACA, NY 14850-6901
Phone number:
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