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Organization

HICKOK CENTER FOR BRAIN INJURY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE M. COMARELLA MBA (EXECUTIVE DIRECTOR)
(585) 271-8640
Entity
Organization

Contact information

Practice address
114 S UNION ST, ROCHESTER, NY 14607-1831
(585) 271-8640
(585) 271-8688
Mailing address
114 S UNION ST, ROCHESTER, NY 14607-1831
(585) 271-8640
(585) 271-8688

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01708667
NY
Enumeration date
06/11/2007
Last updated
09/05/2008
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