Organization
ROCHESTER GENERAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIDOLO (VICE PRESIDENT)
(585) 922-1958
Entity
Organization
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
(315) 359-2645
Mailing address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
(315) 359-2645
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
004088
NY
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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