Organization
URMC MEMORY CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SR. DIRECTOR OF FINANCE-URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
315 SCIENCE PKWY STE 200, ROCHESTER, NY 14620-4200
(585) 273-5454
(585) 341-7510
Mailing address
315 SCIENCE PKWY STE 200, ROCHESTER, NY 14620-4200
(585) 273-5454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03278255
—
NY
Enumeration date
08/11/2010
Last updated
02/17/2023
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