MEDICARE: ROCHESTER COMMUNITY ORTHOPAEDICS, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750326153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCHESTER COMMUNITY ORTHOPAEDICS, LLP

Provider Business Mailing Address
First Line	:	20 HAGEN DR
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2657
Country	:	US
Telephone Number	:	585-218-4337
Fax Number	:	585-267-4037

Provider Business Practice Location Address
First Line	:	20 HAGEN DR
Second Line	:	SUITE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2657
Country	:	US
Telephone Number	:	585-218-4337
Fax Number	:	585-267-4037

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. JUDY D'AMBROSE
Credential	:
Telephone Number	:	585-218-4337

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	06/29/2017

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Directions to “ROCHESTER COMMUNITY ORTHOPAEDICS, LLP ” Practice Location

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