1821262759 NPI number — NYSARC INC

Table of content: (NPI 1821262759)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821262759 NPI number — NYSARC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NYSARC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MONROE COUNTY CHAPTER DT SW
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821262759
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 ELMWOOD AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14620-3042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-271-0660
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2657 W HENRIETTA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14623-2327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-424-7442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WALE
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
585-672-2233

Provider Taxonomy Codes

  • Taxonomy code: 261QD1600X , with the licence number:  7014302 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00791424 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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