Organization
UCVA MEDICAL, LLC
Active
Other names
University Cardiovascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA J REID (CREDENTIALING COORDINATOR)
(585) 784-8141
Entity
Organization
Contact information
Practice address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2645
(585) 442-5320
(585) 442-5526
Mailing address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2645
(585) 442-5320
(585) 442-5526
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903153
—
NY
Enumeration date
03/15/2006
Last updated
03/22/2013
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