Organization
ROCHESTER REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA B MCVEIGH LCSW (PRIMARY THERAPIST)
(585) 271-2520
Entity
Organization
Contact information
Practice address
1000 ELMWOOD AVE, SUITE 600, ROCHESTER, NY 14620-3042
(585) 271-2520
(585) 295-6070
Mailing address
1000 ELMWOOD AVE, SUITE 600, ROCHESTER, NY 14620-3042
(585) 271-2520
(585) 295-6070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
079663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010182152
BLUE CHOICE
NY
05
—
00357497
—
NY
01
—
10714B
MEDICAID ID UNSPECIFIED
NY
01
—
MDG569
PREFERRED CARE
NY
Enumeration date
12/11/2012
Last updated
12/11/2012
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