Healthcare Provider Details

I. General information

NPI: 1043288293
Provider Name (Legal Business Name): ALLERGY ASTHMA IMMUNOLOGY OF ROCHESTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3136 WINTON RD S STE 203
ROCHESTER NY
14623-2928
US

IV. Provider business mailing address

3136 WINTON RD S STE 203
ROCHESTER NY
14623-2928
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-0150
  • Fax: 585-271-8704
Mailing address:
  • Phone: 585-442-0150
  • Fax: 585-271-8704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERT S HARTEL
Title or Position: PRESIDENT
Credential: MD
Phone: 585-442-0150