Healthcare Provider Details

I. General information

NPI: 1396084505
Provider Name (Legal Business Name): HUTHER DOYLE MEMORIAL INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 09/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 EAST AVE 3RD FLOOR
ROCHESTER NY
14604-2638
US

IV. Provider business mailing address

360 EAST AVE 3RD FLOOR
ROCHESTER NY
14604-2638
US

V. Phone/Fax

Practice location:
  • Phone: 585-325-5100
  • Fax: 585-325-5154
Mailing address:
  • Phone: 585-325-5100
  • Fax: 585-325-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY REED
Title or Position: CEO
Credential:
Phone: 585-325-5100