Organization
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
2365 S CLINTON AVE, SUITE 200, ROCHESTER, NY 14618-2645
(585) 758-5700
(585) 758-1293
Mailing address
601 ELMWOOD AVE BOX 629, ROCHESTER, NY 14642-0001
(585) 758-5700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G182467590
BLUE CHOICE
NY
Enumeration date
06/19/2006
Last updated
08/11/2022
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