National Provider Identifier
Rochester Lifestyle Medicine PLLC
Rochester Lifestyle Medicine PLLC is listed in the NPPES registry with a primary specialty of Public Health & General Preventive Medicine Physician in Rochester, NY and a listed phone number of (585) 484-1254.
Profile Overview
- NPI
- 1013380823
- Provider Type
- Organization
- Primary Specialty
- Public Health & General Preventive Medicine Physician
- Enumeration Date
- November 03, 2015
- Last Updated
- March 08, 2016
Practice Location
- 1441 East Ave
- Suite 108
- Rochester, NY 14610-1665
Phone: (585) 484-1254
Mailing Address
- PO Box 22844
- Rochester, NY 14692-2844
Specialties
- Public Health & General Preventive Medicine Physician (2083P0901X)
Full Record
- NPI
- 1013380823
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Rochester Lifestyle Medicine PLLC
- Mailing Street Address
- PO Box 22844
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14692-2844
- Mailing Country
- US
- Practice Street Address
- 1441 East Ave
- Practice Address Line 2
- Suite 108
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-1665
- Practice Country
- US
- Practice Phone
- (585) 484-1254
- Enumeration Date
- November 03, 2015
- Last Updated
- March 08, 2016
- Authorized Official Last Name
- Barnett
- Authorized Official First Name
- Ted
- Authorized Official Middle Name
- D
- Authorized Official Title
- Member
- Authorized Official Phone
- (585) 533-1368
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- M.D.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Public Health & General Preventive Medicine Physician (2083P0901X)