GREATER ROCHESTER NEUROLOGICAL ASSOCIATES PC NPI 1902852908

NPI Information

GREATER ROCHESTER NEUROLOGICAL ASSOCIATES, PC 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. GREATER ROCHESTER NEUROLOGICAL ASSOCIATES, PC NPI is 1902852908. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greater Rochester Neurology.

The provider's business location address is:

2101 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618-643
Phone: (585) 546-3265
Fax: (585) 232-5158

The provider's authorized official is Allen D Pettee, Md .
The authorized official title is President and has the following contact phone number (585) 546-7266.

The CLIA number assigned to this NPI record is 33D2085665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/22/2021.

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:

Other Identifiers

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