Healthcare Provider Details

I. General information

NPI: 1699851329
Provider Name (Legal Business Name): ROCHESTER GENERAL HOSPITAL REHAB ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 PORTLAND AVE BOX 242
ROCHESTER NY
14621-3001
US

IV. Provider business mailing address

1425 PORTLAND AVE BOX 242
ROCHESTER NY
14621-3001
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-3662
  • Fax: 585-922-5914
Mailing address:
  • Phone: 585-922-3662
  • Fax: 585-922-5914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. UMA AGGARWAL
Title or Position: MEDICAL DIRECTOR/ACUTE REHAB UNTI
Credential: M.D.
Phone: 585-922-5730