National Provider Identifier

Rochester Radiology Associates, P.C.

Rochester Radiology Associates, P.C. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 467-8346.

NPI 1679541726Rochester, NYDiagnostic Radiology Physician

Profile Overview

NPI
1679541726
Provider Type
Organization
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
March 14, 2006
Last Updated
March 08, 2013

Practice Location

  • 1255 Portland Ave
  • 2Nd Floor
  • Rochester, NY 14621-2713

Phone: (585) 467-8346

Mailing Address

  • 1415 Portland Ave
  • Suite 190
  • Rochester, NY 14621-3038

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1679541726
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Rochester Radiology Associates, P.C.
Mailing Street Address
1415 Portland Ave
Mailing Address Line 2
Suite 190
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3038
Mailing Country
US
Mailing Phone
(585) 336-5000
Mailing Fax
(585) 336-5006
Practice Street Address
1255 Portland Ave
Practice Address Line 2
2Nd Floor
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2713
Practice Country
US
Practice Phone
(585) 467-8346
Practice Fax
(585) 336-5006
Enumeration Date
March 14, 2006
Last Updated
March 08, 2013
Authorized Official Last Name
Jacobson
Authorized Official First Name
Daniel
Authorized Official Middle Name
R
Authorized Official Title
President
Authorized Official Phone
(585) 922-3220
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
M.D.
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
463658 (NY)