Organization
ELDER ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TINCH (SVP-CFO)
(585) 922-1233
Entity
Organization
Contact information
Practice address
2066 HUDSON AVE, ROCHESTER, NY 14617-4300
(585) 922-2800
(585) 922-2864
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-2800
(585) 922-2864
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278899
—
NY
Enumeration date
07/04/2006
Last updated
05/19/2014
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