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Organization

UNIVERSITY OF ROCHESTER PEDIATRIC NEUROSURGERY

Active
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Organization

UNIVERSITY OF ROCHESTER PEDIATRIC NEUROSURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN J HAIBACH (CFO)
(585) 756-4010
Entity
Organization

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 758-7671
(585) 784-6064
Mailing address
601 ELMWOOD AVE, BOX 320, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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