Organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Other names
Rochester Regional Health Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR - PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5646
(585) 244-0332
Mailing address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5646
(585) 244-0332
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
02/28/2023
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