# ENDOCRINE PRACTICE GROUP

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

## Provider details

- **NPI number:** 1811946825
- **Authorized official:** JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE, URMFG)
- **Authorized official phone:** (585) 756-4003

## Contact information

- **Practice address:** 601 ELMWOOD AVE, BOX 693, ROCHESTER, NY 14642-0001
- **Practice address phone:** (585) 275-2901
- **Practice address fax:** (585) 273-1288
- **Mailing address:** 601 ELMWOOD AVE BOX 278911, ROCHESTER, NY 14642-0001
- **Mailing address phone:** (585) 756-4011
- **Mailing address fax:** (585) 784-8367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 01/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G0189014590 | BLCH | NY |
| 05 | — | G458104 | — | NY |