Basic Information
| Provider Information | |||||||||
| NPI: | 1912942269 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UROLOGY ASSOCIATES OF ROCHESTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8000, DEPT 441 | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142670002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5852322980 | ||||||||
| FaxNumber: | 5852326522 | ||||||||
| Practice Location | |||||||||
| Address1: | 995 SENATOR KEATING BLVD | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146182775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5852322980 | ||||||||
| FaxNumber: | 5852326522 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2006 | ||||||||
| LastUpdateDate: | 09/19/2007 | ||||||||
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| AuthorizedOfficialLastName: | STONE | ||||||||
| AuthorizedOfficialFirstName: | EILEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7166088700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 146560 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.