Healthcare Provider Details

I. General information

NPI: 1417036062
Provider Name (Legal Business Name): COUNTY OF MONROE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/10/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 E HENRIETTA RD
ROCHESTER NY
14620-4629
US

IV. Provider business mailing address

435 E HENRIETTA RD
ROCHESTER NY
14620-4629
US

V. Phone/Fax

Practice location:
  • Phone: 585-760-6500
  • Fax: 585-760-6658
Mailing address:
  • Phone: 585-760-6500
  • Fax: 585-760-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2701006N
License Number StateNY

VIII. Authorized Official

Name: KARIE LYNN MANN
Title or Position: ASSISTANT DEPUTY CONTROLLER
Credential:
Phone: 585-760-6500