Organization
U OF R PLASTIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE, URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 661, ROCHESTER, NY 14642-0001
(585) 275-1000
(585) 276-1985
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-1000
(585) 276-1985
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
NY
Other
Enumeration date
07/22/2006
Last updated
07/21/2022
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