National Provider Identifier
Community Hospital Medical Group
Community Hospital Medical Group is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 760-6351.
Profile Overview
- NPI
- 1326097825
- Provider Type
- Organization
- Primary Specialty
- Geriatric Medicine (Internal Medicine) Physician
- Enumeration Date
- May 10, 2006
- Last Updated
- August 11, 2022
Practice Location
- 435 E Henrietta RD
- Rochester, NY 14620-4629
Phone: (585) 760-6351
Mailing Address
- 601 Elmwood Ave
- Box Med
- Rochester, NY 14642-0001
Specialties
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
- NPI
- 1326097825
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Community Hospital Medical Group
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-6275
- Mailing Fax
- (585) 276-2140
- Practice Street Address
- 435 E Henrietta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4629
- Practice Country
- US
- Practice Phone
- (585) 760-6351
- Practice Fax
- (585) 760-6376
- Enumeration Date
- May 10, 2006
- Last Updated
- August 11, 2022
- 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) 756-4008
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- August 11, 2022
- Taxonomies
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)