Provider Demographics
NPI:1386733715
Name:EQUINOZZI, ARTHUR II (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:EQUINOZZI
Suffix:II
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 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-0553
Mailing Address - Fax:
Practice Address - Street 1:200 NORTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1561
Practice Address - Country:US
Practice Address - Phone:315-787-5100
Practice Address - Fax:315-787-5108
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY106341BJOtherPREFERRED CARE
NYP020220533OtherBLUE SHIELD
NY2152683Medicaid
NYP010220533OtherBLUE CHOICE
NY2593574OtherGHI
NY220533-4OtherWORKER'S COMP
NYP00004018OtherR.R. MEDICARE
NY106341BJOtherPREFERRED CARE
NYDD4120Medicare ID - Type Unspecified