Provider Type Icon

ROCHESTER LIFESTYLE MEDICINE PLLC NPI 1013380823


NPI Information

NPI: 1013380823
Provider Name: ROCHESTER LIFESTYLE MEDICINE PLLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

CLIA Number: 33D0172818

Address:
1441 EAST AVE
SUITE 108
ROCHESTER, NY
ZIP 14610
Phone: (585) 484-1254
Get Directions

ROCHESTER LIFESTYLE MEDICINE PLLC is a public health and general preventive medicine preventive medicine in Rochester, NY. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. ROCHESTER LIFESTYLE MEDICINE PLLC NPI is 1013380823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1441 EAST AVE
SUITE 108
ROCHESTER, NY
ZIP 14610-665
Phone: (585) 484-1254

The provider's authorized official is Ted D Barnett .
The authorized official title is Member and has the following contact phone number (585) 533-1368.

The CLIA number assigned to this NPI record is 33D0172818 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2015 and was last updated on 3/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.