National Provider Identifier
Heart Associates Of Rochester
Heart Associates Of Rochester is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 339-9121.
Profile Overview
- NPI
- 1588872097
- Provider Type
- Organization
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- May 18, 2007
- Last Updated
- August 22, 2020
Practice Location
- 1445 Portland Ave
- Suite 208
- Rochester, NY 14621-3036
Phone: (585) 339-9121
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1588872097
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Heart Associates Of Rochester
- Mailing Street Address
- 1445 Portland Ave
- Mailing Address Line 2
- Suite 208
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3036
- Mailing Country
- US
- Mailing Phone
- (585) 339-9121
- Practice Street Address
- 1445 Portland Ave
- Practice Address Line 2
- Suite 208
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3036
- Practice Country
- US
- Practice Phone
- (585) 339-9121
- Enumeration Date
- May 18, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Mathew
- Authorized Official First Name
- Theckedath
- Authorized Official Title
- CEO
- Authorized Official Phone
- (585) 339-9121
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)