Provider Demographics
NPI:1306891577
Name:VIOLA, RALPH SAVERIO (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:SAVERIO
Last Name:VIOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1157 FAIRPORT RD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1237
Mailing Address - Country:US
Mailing Address - Phone:585-586-9900
Mailing Address - Fax:585-586-7700
Practice Address - Street 1:1157 FAIRPRT RD.
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1237
Practice Address - Country:US
Practice Address - Phone:585-586-9900
Practice Address - Fax:585-586-7700
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY186723-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP010186723OtherBLUE CROSS/BLUE SHIELD
NY102676OtherPREFERRED CARE
NY260033487OtherTAX ID
NY0C0524035003OtherCOMMUNITY BLUE
NYDD1183Medicare ID - Type UnspecifiedMEDICARE
NY102676OtherPREFERRED CARE