National Provider Identifier
Urmc Memory Care Program
Urmc Memory Care Program is listed in the NPPES registry with a primary specialty of Neurology Physician in Rochester, NY and a listed phone number of (585) 273-5454.
Profile Overview
- NPI
- 1447565759
- Provider Type
- Organization
- Primary Specialty
- Neurology Physician
- Enumeration Date
- August 11, 2010
- Last Updated
- February 17, 2023
Practice Location
- 315 Science Pkwy Ste 200
- Rochester, NY 14620-4200
Phone: (585) 273-5454
Specialties
- Neurology Physician (2084N0400X)
- Clinical Psychologist (103TC0700X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1447565759
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Urmc Memory Care Program
- Mailing Street Address
- 315 Science Pkwy Ste 200
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4200
- Mailing Country
- US
- Mailing Phone
- (585) 273-5454
- Practice Street Address
- 315 Science Pkwy Ste 200
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4200
- Practice Country
- US
- Practice Phone
- (585) 273-5454
- Practice Fax
- (585) 341-7510
- Enumeration Date
- August 11, 2010
- Last Updated
- February 17, 2023
- Authorized Official Last Name
- Hetterich
- Authorized Official First Name
- Jill
- Authorized Official Middle Name
- M
- Authorized Official Title
- SR. Director Of Finance-Urmfg
- Authorized Official Phone
- (585) 756-4008
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Taxonomy Group 4
- 193200000X Multi-Specialty Group
- Certification Date
- February 17, 2023
- Taxonomies
- Neurology Physician (2084N0400X), Clinical Psychologist (103TC0700X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 03278255 (NY)