Individual
DR. MONICA J HENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 FINTRAY PL, ROCHESTER, NY 14607-2912
(585) 461-1029
Mailing address
2 FINTRAY PL, ROCHESTER, NY 14607-2912
(585) 461-1029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
169999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025371101
UNIVERA
NY
05
—
00355266
—
NY
01
—
050915000103
FIDELIS
NY
01
—
102532DL
PREFERRED CARE
NY
01
—
11122747
CAQH
NY
01
—
1292608
IHA
NY
01
—
P010169999
BLUE CHOICE
NY
Enumeration date
05/02/2006
Last updated
12/15/2010
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