MEDICARE: STRONG MEMORIAL HOSPITAL

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
1	282N00000X	General Acute Care Hospital	340524	NY

General Provider Information

NPI Number	:	1417050741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	77 GLEN ACRE DR
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-2731
Country	:	US
Telephone Number	:	585-321-0195
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14627
Country	:	US
Telephone Number	:	585-321-0195
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MRS. SUSAN ELIZABETH HENDEE
Credential	:	NP
Telephone Number	:	585-321-0195

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	07/27/2007

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