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Contact Information

PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER
601 ELMWOOD AVE
ROCHESTER, NY14642-0001
 Phone: 585-758-7671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER

NPI Number 1609024462
LBN Legal business name PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER
Authorized official JILL HETTERICH - (SENIOR DIRECTOR OF FINANCE URMFG)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2008
Last updated 08/09/2022 - About 4 years ago
Identifiers
NY Medicaid 03071987
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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