Organization
INTERIM HEALTHCARE OF ROCHESTER
Active
Other names
Interim Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN HAMBURGER (CONTRACT SPECIALIST)
(631) 689-8920
Entity
Organization
Contact information
Practice address
339 EAST AVE, STE 303, ROCHESTER, NY 14604-2627
(585) 434-2633
(585) 434-2635
Mailing address
207 HALLOCK RD, SUITE 201, STONY BROOK, NY 11790-3033
(631) 689-8920
(631) 689-8955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1060L001
NY
261QM0850X
Adult Mental Health Clinic/Center
Primary
8335001A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03157426
—
NY
Enumeration date
12/16/2015
Last updated
02/19/2016
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