Basic Information
| Provider Information | |||||||||
| NPI: | 1265726004 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSTRANDER | ||||||||
| FirstName: | GEOFFREY | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 KINGS HWY S | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146175504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5855543119 | ||||||||
| FaxNumber: | 5855543323 | ||||||||
| Practice Location | |||||||||
| Address1: | 213 STATE ROUTE 245 | ||||||||
| Address2: | |||||||||
| City: | RUSHVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 145449603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175447228 | ||||||||
| FaxNumber: | 7175444149 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2011 | ||||||||
| LastUpdateDate: | 12/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 275799 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 275799 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | 275799 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.