National Provider Identifier

Nysarc Inc

Nysarc Inc is listed in the NPPES registry with a primary specialty of Developmental Disabilities Clinic/Center in Rochester, NY and a listed phone number of (585) 271-0660.

NPI 1710152699Rochester, NYDevelopmental Disabilities Clinic/Center

Profile Overview

NPI
1710152699
Provider Type
Organization
Primary Specialty
Developmental Disabilities Clinic/Center
Enumeration Date
April 23, 2008
Last Updated
April 23, 2008

Practice Location

  • 1651 Lyell Ave
  • Rochester, NY 14606

Phone: (585) 271-0660

Mailing Address

  • 1000 Elmwood Ave
  • Suite 500
  • Rochester, NY 14620-3042

Specialties

  • Developmental Disabilities Clinic/Center (261QD1600X)
Full Record
NPI
1710152699
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Nysarc Inc
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1000 Elmwood Ave
Mailing Address Line 2
Suite 500
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3042
Mailing Country
US
Mailing Phone
(585) 271-0660
Practice Street Address
1651 Lyell Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606
Practice Country
US
Practice Phone
(585) 271-0660
Enumeration Date
April 23, 2008
Last Updated
April 23, 2008
Authorized Official Last Name
Wale
Authorized Official First Name
Barbara
Authorized Official Middle Name
S
Authorized Official Title
Coo
Authorized Official Phone
(585) 672-2233
Organization Subpart
No
Authorized Official Name Prefix Text
Mrs.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Developmental Disabilities Clinic/Center (261QD1600X)
Other Identifiers
01334990 (NY)