Organization
MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 758-7671
Mailing address
601 ELMWOOD AVE BOX 648, ROCHESTER, NY 14642-0001
(585) 275-2734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03063994
—
NY
01
—
DP0057
MEDICARE RAILROAD PIN
NY
Enumeration date
09/05/2008
Last updated
08/24/2022
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