1932387131 NPI number — ROCHESTER HEARING AND SPEECH CENTER

Table of content: (NPI 1932387131)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932387131 NPI number — ROCHESTER HEARING AND SPEECH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCHESTER HEARING AND SPEECH CENTER
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:
Provider Other Organization Name Type Code:
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:
1932387131
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 TREMONT CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14608-2461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-355-6654
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 ELMWOOD AVE STE 400
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:
14620-3042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-271-0680
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BACHER
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
SPECIAL EDUCATION ITINERANT TEACHER
Authorized Official Telephone Number:
585-355-6654

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , with the licence number:  1928062 , 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)





Copyright © 2007-2024 www.npivalidator.com