Organization
ROXHESTER REGIONAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE MARIE MILTELLO MA (CLINICAL MANAGER)
(585) 368-6900
Entity
Organization
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Mailing address
1044 N GOODMAN ST, ROCHESTER, NY 14609-3941
(585) 713-5598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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