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Contact Information

GREATER ROCHESTER EAR NOSE & THROAT LLC
1295 PORTLAND AVENUE
SUITE 7
ROCHESTER, NY14621
 Phone: 585-266-7560
 Fax: 585-266-7916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GREATER ROCHESTER EAR NOSE THROAT LLC · (Female)

NPI # 1578647079
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 182118
  • NY Medicaid 02359171
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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