Basic Information
Provider Information
NPI: 1225456551
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KATERJI
FirstName: HANI
MiddleName:  
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Credential:  
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Mailing Information
Address1: 601 ELMWOOD AVENUE, BOX 626
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852734135
FaxNumber: 5852733637
Practice Location
Address1: UNIVERSITY OF ROCHESTER MEDICAL CTR
Address2: 601 ELMWOOD AVENUE, BOX 626
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852734580
FaxNumber: 5852761350
Other Information
ProviderEnumerationDate: 04/03/2014
LastUpdateDate: 07/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/15/2021

No Taxonomy Information.

No ID Information.


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