Healthcare Provider Details

I. General information

NPI: 1255346904
Provider Name (Legal Business Name): NEUROLOGY CONSULTANTS OF ROCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 06/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SULLYS TRL BLDG 20
PITTSFORD NY
14534-4552
US

IV. Provider business mailing address

101 SULLYS TRL BLDG 20
PITTSFORD NY
14534-4552
US

V. Phone/Fax

Practice location:
  • Phone: 585-544-7979
  • Fax: 585-544-7901
Mailing address:
  • Phone: 585-544-7979
  • Fax: 585-544-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD D LESSER
Title or Position: PARTNER
Credential: MD
Phone: 585-544-7979