Individual
COLLEEN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSC.
Contact information
Practice address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 254-1092
Mailing address
480 GENESEE ST, ROCHESTER, NY 14611-3634
(585) 254-6480
(585) 254-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
193267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102744BF
PREFERRED CARE
NY
05
—
193267
—
NY
01
—
P010193267
BLUE CHOICE ROCHESTER
NY
Enumeration date
07/20/2006
Last updated
07/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us