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Organization

UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL M HETTERICH (AUTHORIZED OFFICIAL)
(585) 756-4003
Entity
Organization

Contact information

Practice address
699 S MAIN ST STE 3, CANANDAIGUA, NY 14424-2208
(585) 602-1150
(585) 433-9089
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 275-5321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207RS0010X
Sports Medicine (Internal Medicine) Physician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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