=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902347388
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANIMAL HOSPITAL OF ROCHESTER, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2017
-----------------------------------------------------
Last Update Date | 03/17/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1150 UNIVERSITY AVE
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14607-1647
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-730-7704
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1150 UNIVERSITY AVE
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14607-1647
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-730-7704
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VETERINARIAN
-----------------------------------------------------
Name | DR. KATE ELIZABETH HUGGLER-RUBIN
-----------------------------------------------------
Credential | DVM
-----------------------------------------------------
Telephone | 585-730-7704
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 012757
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------