National Provider Identifier
Gyn Oncology Group Of The University Of Rochester
Gyn Oncology Group Of The University Of Rochester is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician in Rochester, NY and a listed phone number of (585) 442-8077.
Profile Overview
- NPI
- 1033129044
- Provider Type
- Organization
- Primary Specialty
- Gynecologic Oncology Physician
- Enumeration Date
- August 09, 2006
- Last Updated
- August 24, 2022
Practice Location
- 125 Lattimore RD
- Suite 258
- Rochester, NY 14620-4159
Phone: (585) 442-8077
Mailing Address
- 601 Elmood Ave Box 668
- Rochester, NY 14642-0001
Specialties
- Gynecologic Oncology Physician (207VX0201X)
Full Record
- NPI
- 1033129044
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Gyn Oncology Group Of The University Of Rochester
- Mailing Street Address
- 601 Elmood Ave Box 668
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5241
- Practice Street Address
- 125 Lattimore RD
- Practice Address Line 2
- Suite 258
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4159
- Practice Country
- US
- Practice Phone
- (585) 442-8077
- Practice Fax
- (585) 442-8039
- Enumeration Date
- August 09, 2006
- Last Updated
- August 24, 2022
- Authorized Official Last Name
- Hetterich
- Authorized Official First Name
- Jill
- Authorized Official Middle Name
- M
- Authorized Official Title
- Senior Director Of Finance Urmfg
- Authorized Official Phone
- (585) 756-4008
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 24, 2022
- Taxonomies
- Gynecologic Oncology Physician (207VX0201X)