Organization
ROCHESTER GENERAL HOSPITAL
Active
Other names
WMG Newark Urology
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TINCH (SVP-FINANCE)
(585) 922-1223
Entity
Organization
Contact information
Practice address
1202 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2690
(315) 359-2128
Mailing address
1202 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2690
(315) 359-2128
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303315
—
NY
Enumeration date
10/24/2008
Last updated
06/24/2014
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