Organization
CARDIOLOGY CONSULTS OF ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE A MATINA (MEDICAL BILLER)
(585) 342-4212
Entity
Organization
Contact information
Practice address
2664 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 225-5050
(585) 720-0776
Mailing address
2664 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 225-5050
(585) 720-0776
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
128195
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00541704
—
NY
Enumeration date
04/28/2008
Last updated
07/16/2008
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