National Provider Identifier

Community Hospital Rehabilitation

Community Hospital Rehabilitation is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 760-6040.

NPI 1790792307Rochester, NYGeriatric Medicine (Internal Medicine) Physician

Profile Overview

NPI
1790792307
Provider Type
Organization
Primary Specialty
Geriatric Medicine (Internal Medicine) Physician
Enumeration Date
August 03, 2006
Last Updated
May 29, 2015

Practice Location

  • 435 E Henrietta RD
  • Rochester, NY 14620-4629

Phone: (585) 760-6040

Mailing Address

  • 601 Elmwood Ave
  • Box Med
  • Rochester, NY 14642-0001

Specialties

  • Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
NPI
1790792307
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Community Hospital Rehabilitation
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box Med
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 760-6040
Mailing Fax
(585) 276-2140
Practice Street Address
435 E Henrietta RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4629
Practice Country
US
Practice Phone
(585) 760-6040
Practice Fax
(585) 760-6376
Enumeration Date
August 03, 2006
Last Updated
May 29, 2015
Authorized Official Last Name
Haibach
Authorized Official First Name
Martin
Authorized Official Middle Name
J
Authorized Official Title
Finance Director
Authorized Official Phone
(585) 273-4607
Organization Subpart
No
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomies
Geriatric Medicine (Internal Medicine) Physician (207RG0300X)