National Provider Identifier
Internal Medicine Group
Internal Medicine Group is listed in the NPPES registry with a primary specialty of Obesity and Weight Management Nutrition Registered Dietitian in Rochester, NY and a listed phone number of (585) 602-0720.
Profile Overview
- NPI
- 1184255176
- Provider Type
- Organization
- Primary Specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Enumeration Date
- January 29, 2020
- Last Updated
- January 12, 2021
Practice Location
- 46 Prince St Ste 3001
- Rochester, NY 14607-1023
Phone: (585) 602-0720
Specialties
- Obesity and Weight Management Nutrition Registered Dietitian (133VN1201X)
Full Record
- NPI
- 1184255176
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Internal Medicine Group
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 46 Prince St Ste 3001
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1023
- Mailing Country
- US
- Mailing Phone
- (585) 530-2050
- Practice Street Address
- 46 Prince St Ste 3001
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1023
- Practice Country
- US
- Practice Phone
- (585) 602-0720
- Enumeration Date
- January 29, 2020
- Last Updated
- January 12, 2021
- Authorized Official Last Name
- Hetterich
- Authorized Official First Name
- Jill
- Authorized Official Middle Name
- M
- Authorized Official Title
- Senior Director Of Finance
- Authorized Official Phone
- (585) 756-4003
- Organization Subpart
- Yes
- Parent Organization Name
- URMC
- Parent Organization TIN
- <UNAVAIL>
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- January 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obesity and Weight Management Nutrition Registered Dietitian (133VN1201X)