Organization
LIFESPAN OF GREATER ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MARIE COOK (PRESIDENT/CEO)
(585) 244-8400
Entity
Organization
Contact information
Practice address
1900 CLINTON AVE S, ROCHESTER, NY 14618-5621
(585) 244-8400
(585) 244-9114
Mailing address
1900 CLINTON AVE S, ROCHESTER, NY 14618-5621
(585) 244-8400
(585) 244-9114
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03065610
—
NY
Enumeration date
10/29/2013
Last updated
10/29/2013
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