Organization
NYSARC INC
Active
Other names
Monroe County Chapter DT Bally
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA S WALE (COO)
(585) 672-2233
Entity
Organization
Contact information
Practice address
10 BALLANTYNE RD, ROCHESTER, NY 14623-1904
(585) 328-7340
Mailing address
1000 ELMWOOD AVE, SUITE 500, ROCHESTER, NY 14620-3042
(585) 271-0660
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
7014300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357837
—
NY
Enumeration date
04/25/2008
Last updated
04/25/2008
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