Organization
WESTSIDE HEALTH SERVICES, INC.
Active
Organization
WESTSIDE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J. DONOHUE M.D. (MEDICAL DIRECTOR)
(585) 436-3040
Entity
Organization
Contact information
Practice address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 295-6009
Mailing address
480 GENESEE ST, ROCHESTER, NY 14611-3634
(585) 436-3040
(585) 295-6009
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2701220R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355353
—
NY
01
—
G0182661590
BLUE CHOICE OF ROCHESTER
NY
Enumeration date
09/13/2006
Last updated
10/06/2010
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