Healthcare Provider Details

I. General information

NPI: 1295962314
Provider Name (Legal Business Name): ROCHESTER CHILDFIRST NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SOUTH AVE
ROCHESTER NY
14620-2746
US

IV. Provider business mailing address

941 SOUTH AVE
ROCHESTER NY
14620-2746
US

V. Phone/Fax

Practice location:
  • Phone: 585-473-2858
  • Fax: 585-278-1995
Mailing address:
  • Phone: 585-473-2858
  • Fax: 585-278-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARSHA DUMKA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 585-473-2858