Organization
U OF R NEUROLOGY DEPARTMENT
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 278984, ROCHESTER, NY 14642-0001
(585) 275-8420
(585) 242-9164
Mailing address
601 ELMWOOD AVE BOX 670, ROCHESTER, NY 14642-0001
(585) 275-1200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477210
—
NY
Enumeration date
09/26/2006
Last updated
08/22/2019
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