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General NPI Number Information
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NPI Number | 1609806488
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Entity Type | Organization
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Legal Business Name | U OF R ANESTHESIOLOGY GROUP
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-5982
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. ALICIA KING
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Credential |
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Telephone | 585-784-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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