Organization
INTERIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SAGAJLLO (LPN)
(585) 978-4424
Entity
Organization
Contact information
Practice address
255 EAST AVE, ROCHESTER, NY 14604-2625
(585) 978-4214
Mailing address
255 EAST AVE, ROCHESTER, NY 14604-2625
(585) 978-4214
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
283595
NY
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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