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Organization

UNIVERSITY OF ROCHESTER EMERGENCY ASSOCIATES TOXICOLOGY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL HETTERICH (ASSOCIATE DIRECTOR, FINANCE)
(585) 756-4008
Entity
Organization

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 341-3015
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-8655
(585) 273-4398

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03287932
NY
Enumeration date
10/18/2010
Last updated
08/11/2022
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