# ROXHESTER REGIONAL HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1841831252
- **Authorized official:** JENNIE MARIE MILTELLO MA (CLINICAL MANAGER)
- **Authorized official phone:** (585) 368-6900

## Contact information

- **Practice address:** 81 LAKE AVE, ROCHESTER, NY 14608-1410
- **Practice address phone:** (585) 368-6900
- **Mailing address:** 1044 N GOODMAN ST, ROCHESTER, NY 14609-3941
- **Mailing address phone:** (585) 713-5598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 10/07/2019