National Provider Identifier

Mitchell J Lurye,Lcswr.Llc

Mitchell J Lurye,Lcswr.Llc is listed in the NPPES registry with a primary specialty of Exclusive Provider Organization in Rochester, NY and a listed phone number of (585) 217-6319.

NPI 1659862290Rochester, NYExclusive Provider Organization

Profile Overview

NPI
1659862290
Provider Type
Organization
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 18, 2018
Last Updated
May 18, 2018

Practice Location

  • 274 N Goodman St Ste 283
  • Rochester, NY 14607-1154

Phone: (585) 217-6319

Specialties

  • Exclusive Provider Organization (302F00000X)
Full Record
NPI
1659862290
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Mitchell J Lurye,Lcswr.Llc
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
274 N Goodman St Ste 283
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1154
Mailing Country
US
Mailing Phone
(585) 217-6319
Practice Street Address
274 N Goodman St Ste 283
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1154
Practice Country
US
Practice Phone
(585) 217-6319
Enumeration Date
May 18, 2018
Last Updated
May 18, 2018
Authorized Official Last Name
Lurye
Authorized Official First Name
Mitchell
Authorized Official Middle Name
J
Authorized Official Title
Owner
Authorized Official Phone
(585) 217-6319
Organization Subpart
No
Authorized Official Credential Text
LCSWR
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Exclusive Provider Organization (302F00000X)