National Provider Identifier Database

CARDIOLOGY CLINICAL GROUP
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

CARDIOLOGY CLINICAL GROUP
601 ELMWOOD AVE
BOX 679B
ROCHESTER, NY14642-0001
Phone: 585-275-4751
Fax: 585-473-1573
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Advanced Heart Failure & Transplant Cardiology 207RA0001X
Clinical Cardiac Electrophysiology 207RC0001X
Interventional Cardiology 207RI0011X

* Indicates primary specialty

NPI Profile & details for CARDIOLOGY CLINICAL GROUP

NPI Number 1811936727
Legal business name
LBN
CARDIOLOGY CLINICAL GROUP
Authorized official JILL HETTERICH - (SENIOR DIRECTOR OF FINANCE, URMFG)
Entity Organization
Organization subpart No
Enumeration date 06/06/2006
Last updated 04/28/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 00792190
  • NY Other: G0185482590 BLUE CHOICE
  • NY Other: 2190040 INDEPENDENT HEALTH
  • NY Other: CB1630 MEDICARE RAILROAD

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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