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NPI Code Detail

MEDICARE: ELDER ONE

MEDICARE: ELDER ONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency2701907LNY

General Provider Information

NPI Number : 1144557141
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDER ONE
Provider Business Mailing Address
First Line : 2066 HUDSON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-4300
Country : US
Telephone Number : 585-922-2800
Fax Number : 585-922-2864
Provider Business Practice Location Address
First Line : 2066 HUDSON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-4300
Country : US
Telephone Number : 585-922-2800
Fax Number : 585-922-2864
Authorized Official
Title or Position : SVP-CFO
Name : PAULA TINCH
Credential :
Telephone Number : 585-922-1233
Provider Enumeration Date : 11/11/2009
Last Update Date : 05/19/2014

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Directions to “ELDER ONE ” Practice Location

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