Basic Information
Provider Information
NPI: 1508800830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKMESE
FirstName: FATMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 293 UPPER FALLS BLVD
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146052184
CountryCode: US
TelephoneNumber: 5859220200
FaxNumber: 5859220230
Practice Location
Address1: 293 UPPER FALLS BLVD
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146052184
CountryCode: US
TelephoneNumber: 5859220200
FaxNumber: 5859220230
Other Information
ProviderEnumerationDate: 06/16/2006
LastUpdateDate: 04/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X230593-1NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
0268439105NY MEDICAID
00092689000101NYHEALTHNOW BCBSWNY ALBIONOTHER
01023059301NYEXCELLUSOTHER
011288401NYINDEPENDENT HEALTHOTHER
781166501NYAETNA HMOOTHER
00092689000201NYHEALTHNOW BCBSWNY BRCKPRTOTHER
MDH970BF01NYPREFERRED CAREOTHER
05031500011601NYFIDELIS ALBIONOTHER
05040200000001NYFIDELIS BRCKPRTOTHER
781166501NYAETNA PPO/POSOTHER


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