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1912099136 NPI number — NEUROLOGY ASSOCIATES OF ROCHESTER PC

NPI Number: 1912099136
Health Care Provider/Practitioner: NEUROLOGY ASSOCIATES OF ROCHESTER PC

Information about “1912099136” NPI (NEUROLOGY ASSOCIATES OF ROCHESTER PC) exists in 1912099136 in HTML format HTML  |  1912099136 in plain Text format TXT  |  1912099136 in PDF (Portable Document Format) PDF  |  1912099136 in an XML format XML  formats.

NPI Number : 1912099136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912099136",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEUROLOGY ASSOCIATES OF ROCHESTER PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 HAGEN DR.",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14625",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-586-7550",
    "MailingAddressFaxNumber": "585-586-7588",
    "FirstLinePracticeLocationAddress": "1415 PORTLAND AVE",
    "SecondLinePracticeLocationAddress": "SUITE 575",
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14621-3038",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-336-5336",
    "PracticeLocationAddressFaxNumber": "585-336-5117",
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "09/28/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HALEY",
    "AuthorizedOfficialFirstName": "BETH",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "ADMIN ASSIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "585-586-7550",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084N0400X",
        "TaxonomyName": "Neurology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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