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CARDIOLOGY CLINICAL GROUP NPI 1811936727


NPI Information

NPI: 1811936727
Provider Name: CARDIOLOGY CLINICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
601 ELMWOOD AVE
BOX 679B
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-4751
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CARDIOLOGY CLINICAL GROUP is a specialist in Rochester, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CARDIOLOGY CLINICAL GROUP NPI is 1811936727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 ELMWOOD AVE
BOX 679B
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-4751
Fax: (585) 473-1573

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

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/19/2019.


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
1174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100792190MEDICAIDNEW YORK
22190040OTHERNEW YORKINDEPENDENT HEALTH
3CB1630OTHERNEW YORKMEDICARE RAILROAD
4G0185482590OTHERNEW YORKBLUE CHOICE

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

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