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Organization
ROCHESTER REGIONAL
Active
Organization
ROCHESTER REGIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE HARDIE (PROGRAM COORDINATOR)
(585) 356-9081
Entity
Organization
Contact information
Practice address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(718) 483-1952
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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