# CENTER FOR ADOLESCENT & YOUNG ADULT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407002371
- **Authorized official:** DR. JEFFREY D ALBERTS MD (DOCTOR)
- **Authorized official phone:** (585) 225-2600

## Contact information

- **Practice address:** 1081 LONG POND RD, SUITE 240, ROCHESTER, NY 14626-5002
- **Practice address phone:** (585) 225-2600
- **Practice address fax:** (585) 225-2606
- **Mailing address:** 1081 LONG POND RD, SUITE 240, ROCHESTER, NY 14626-5002
- **Mailing address phone:** (585) 225-2600
- **Mailing address fax:** (585) 225-2606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 48483 | NY | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 222620 | NY | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 222620 | NY | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 05/10/2012