URMC MEMORY CARE PROGRAM NPI 1447565759

NPI Information

NPI: 1447565759
Provider Name: URMC MEMORY CARE PROGRAM
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
919 WESTFALL RD
BLDG C, STE 220
ROCHESTER, NY
ZIP 14618
Phone: (585) 273-5454
Get Directions

URMC MEMORY CARE PROGRAM is a neurology psychiatry neurology in Rochester, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. URMC MEMORY CARE PROGRAM NPI is 1447565759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

919 WESTFALL RD
BLDG C, STE 220
ROCHESTER, NY
ZIP 14618-628
Phone: (585) 273-5454
Fax: (585) 341-7510

The provider's authorized official is Jill M Hetterich .
The authorized official title is Sr. Director Of Finance-urmfg and has the following contact phone number (585) 756-4003.

The enumeration date for this NPI number is 8/11/2010 and was last updated on 10/25/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC0700X	Psychologist	Clinical	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	2084N0400X	Psychiatry & Neurology	Neurology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J100036014	MEDICARE PIN	NEW YORK
2	03278255	MEDICAID	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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