# ROCHESTER GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetic Education and Optifast Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972851483
- **Authorized official:** PAULA TINCH (SVP-FINANCE)
- **Authorized official phone:** (585) 922-1223

## Contact information

- **Practice address:** 224 ALEXANDER ST, SUITE \# 200, ROCHESTER, NY 14607-4000
- **Practice address phone:** (585) 922-8400
- **Practice address fax:** (585) 922-8405
- **Mailing address:** 224 ALEXANDER ST, SUITE \# 200, ROCHESTER, NY 14607-4000
- **Mailing address phone:** (585) 922-8400
- **Mailing address fax:** (585) 922-8405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 06/24/2014