National Provider Identifier
Northside Echocardiography, PC
Northside Echocardiography, PC is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 336-5050.
Profile Overview
- NPI
- 1073708756
- Provider Type
- Organization
- Primary Specialty
- Specialist
- Enumeration Date
- September 06, 2007
- Last Updated
- February 05, 2010
Practice Location
- 1415 Portland Ave
- Suite 555
- Rochester, NY 14621-3038
Phone: (585) 336-5050
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1073708756
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Northside Echocardiography, PC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 1415 Portland Ave
- Mailing Address Line 2
- Suite 555
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 336-5050
- Mailing Fax
- (585) 336-5051
- Practice Street Address
- 1415 Portland Ave
- Practice Address Line 2
- Suite 555
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 336-5050
- Practice Fax
- (585) 336-5051
- Enumeration Date
- September 06, 2007
- Last Updated
- February 05, 2010
- Authorized Official Last Name
- Mitchell
- Authorized Official First Name
- Sandy
- Authorized Official Title
- Office Manager
- Authorized Official Phone
- (585) 336-5050
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 17465B (NY, Medicare Provider Id#), 1013967074 (NY, NPI Laura J Von Doenhoff, MD), N389329 (NY, Wellcare), BA1217 (NY, Medicare Ptan), MD4G96 (NY, Preferred Care Provider #), 00616633 (NY), 5309317 (NY, Aetna), P010131660 (NY, Blue Choice Provider Id)