TEODORO MARIANO JR MD PC
NPI 1063795276
Internal Medicine in Spencerport, NY

Active since September 23, 2011
21 UNION HILL DR, SPENCERPORT, NY 14559(585) 352-4411(585) 352-1305 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teodoro Mariano Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEODORO MARIANO JR MD PC (NPI 1063795276) is a healthcare organization registered as an internal medicine in Spencerport, New York and active in the NPI registry since September 2011. The organization lists Teodoro Reyes Mariano, President, as its authorized official.

NPPES Registry Identity

NPI1063795276
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTEODORO MARIANO JR MD PC
Location Address21 UNION HILL DRSpencerport, NY 14559-1965
Mailing Address21 Union Hill DrSpencerport, NY 14559-1965 · (585) 352-4411 · Fax (585) 352-1305
Fax(585) 352-1305
Organization SubpartNo
Authorized OfficialTeodoro Reyes MarianoPresident · (585) 352-4411
Enumeration DateSeptember 23, 2011
Last NPPES UpdateJanuary 13, 2012
NPI 1063795276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 129789
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
21 UNION HILL DR, Spencerport, NY 14559

Other Identifiers 2

Medicaid00487921NY
Medicare UPINC49023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
21 UNION HILL DR
SPENCERPORT, NY 14559
Internal Medicine
21 UNION HILL DR
SPENCERPORT, NY 14559
Legal Medicine
21 UNION HILL DR, SUITE B
SPENCERPORT, NY 14559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teodoro Mariano Jr MD PC's NPI number?

The NPI number for Teodoro Mariano Jr MD PC is 1063795276. It was assigned to this organization in the NPPES registry on September 23, 2011.

Where is Teodoro Mariano Jr MD PC located?

Teodoro Mariano Jr MD PC is located at 21 Union Hill Dr, Spencerport, NY 14559. The listed phone number is (585) 352-4411.

What is Teodoro Mariano Jr MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Teodoro Mariano Jr MD PC was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.