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Organization
ROCHESTER GENERAL HOSPITAL
Active
Organization
ROCHESTER GENERAL HOSPITAL
Active
Other names
Diabetic Education and Optifast Program
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TINCH (SVP-FINANCE)
(585) 922-1223
Entity
Organization
Contact information
Practice address
224 ALEXANDER ST, SUITE # 200, ROCHESTER, NY 14607-4000
(585) 922-8400
(585) 922-8405
Mailing address
224 ALEXANDER ST, SUITE # 200, ROCHESTER, NY 14607-4000
(585) 922-8400
(585) 922-8405
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
163WN1003X
Nutrition Support Registered Nurse
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/15/2012
Last updated
06/24/2014
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