Organization
DERMATOPATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 697, ROCHESTER, NY 14642-0001
(585) 273-4412
(585) 461-3509
Mailing address
601 ELMWOOD AVE BOX 697, ROCHESTER, NY 14642-0001
(585) 275-1976
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
174635
NY
Other
Enumeration date
06/24/2006
Last updated
08/15/2019
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