National Provider Identifier
Monroe Ddso Clinic University
Monroe Ddso Clinic University is listed in the NPPES registry with a primary specialty of Developmental Disabilities Clinic/Center in Rochester, NY and a listed phone number of (518) 402-4333.
Source: public NPPES record, last updated August 20, 2009. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083748792
- Provider Type
- Organization
- Primary Specialty
- Developmental Disabilities Clinic/Center
- Enumeration Date
- March 15, 2007
- Last Updated
- August 20, 2009
Practice Location
- 1050 University Ave
- Rochester, NY 14607-1618
Phone: (518) 402-4333
Mailing Address
- 44 Holland Ave
- Albany, NY 12229-0001
Authorized Official
- Name
- Karla Smith
- Title
- Director Of Central Operations
- Phone
- (518) 402-4333
Specialties
- Developmental Disabilities Clinic/Center (261QD1600X)
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Full Record
- NPI
- 1083748792
- Entity Type
- Organization
- Organization Name
- Monroe Ddso Clinic University
- Mailing Street Address
- 44 Holland Ave
- Mailing City
- Albany
- Mailing State
- NY
- Mailing ZIP Code
- 12229-0001
- Mailing Country
- US
- Mailing Phone
- (518) 402-4333
- Practice Street Address
- 1050 University Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1618
- Practice Country
- US
- Practice Phone
- (518) 402-4333
- Enumeration Date
- March 15, 2007
- Last Updated
- August 20, 2009
- Authorized Official Last Name
- Smith
- Authorized Official First Name
- Karla
- Authorized Official Title
- Director Of Central Operations
- Authorized Official Phone
- (518) 402-4333
- Organization Subpart
- No
- Taxonomies
- Developmental Disabilities Clinic/Center (261QD1600X)
- Other Identifiers
- 01410448 (NY)