National Provider Identifier
Bariatric & Gi Surgery Of The University Of Rochester
Bariatric & Gi Surgery Of The University Of Rochester is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 273-4607.
Profile Overview
- NPI
- 1497941645
- Provider Type
- Organization
- Primary Specialty
- Surgery Physician
- Enumeration Date
- September 21, 2007
- Last Updated
- August 10, 2022
Practice Location
- 1000 South Ave
- Rochester, NY 14620
Phone: (585) 273-4607
Mailing Address
- 601 Elmwood Ave Box Surg
- Rochester, NY 14642-0001
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1497941645
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Bariatric & Gi Surgery Of The University Of Rochester
- Mailing Street Address
- 601 Elmwood Ave Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-1984
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 273-4607
- Practice Fax
- (585) 341-6544
- Enumeration Date
- September 21, 2007
- Last Updated
- August 10, 2022
- Authorized Official Last Name
- Hetterich
- Authorized Official First Name
- Jill
- Authorized Official Middle Name
- M
- Authorized Official Title
- Senior Director Of Finance, Urmfg
- Authorized Official Phone
- (585) 756-4008
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 10, 2022
- Taxonomies
- Surgery Physician (208600000X)