Organization
TRAUMA BURN EMERGENCY SURGERY OF THE UNIVERSITY OF ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3376
(585) 276-1992
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-1984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
202047085
NY
2086S0102X
Surgical Critical Care Physician
—
NY
2086S0127X
Trauma Surgery Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03134470
—
NY
Enumeration date
08/17/2007
Last updated
08/22/2019
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