Organization
UNIVERSITY OF ROCHESTER PHYSICAL MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR, FINANCE URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 664, ROCHESTER, NY 14642-0001
(585) 275-3272
(585) 442-2949
Mailing address
601 ELMWOOD AVE BOX 664, ROCHESTER, NY 14642-0001
(585) 276-8394
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119459
—
NY
01
—
D09005
MEDICARE RR
NY
Enumeration date
07/18/2008
Last updated
08/09/2022
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