Healthcare Provider Details

I. General information

NPI: 1386861581
Provider Name (Legal Business Name): ANITA AMERING BURTON CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVE. MC BOX 664
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

74 RAILROAD AVE
HILTON NY
14468-1119
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-9952
  • Fax:
Mailing address:
  • Phone: 585-392-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: