Healthcare Provider Details

I. General information

NPI: 1902487093
Provider Name (Legal Business Name): UNIVERSITY OF ROCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BAILEY RD
WEST HENRIETTA NY
14586-9728
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 684
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-8546
  • Fax:
Mailing address:
  • Phone: 585-784-9503
  • Fax: 585-784-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CARRIE FULLER SPENCER
Title or Position: CHEIF FINANCIAL OFFICER
Credential:
Phone: 585-275-3033