MEDICARE: COUNTY OF MONROE

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	252Y00000X	Early Intervention Provider Agency		NY
2	251K00000X	Public Health or Welfare Agency	06000152459	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447393632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MONROE

Provider Business Mailing Address
First Line	:	111 WESTFALL ROAD
Second Line	:	ROOM 976
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4647
Country	:	US
Telephone Number	:	585-753-6666
Fax Number	:	585-753-5115

Provider Business Practice Location Address
First Line	:	111 WESTFALL ROAD
Second Line	:	ROOM 976
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4647
Country	:	US
Telephone Number	:	585-753-6666
Fax Number	:	585-753-5115

Authorized Official
Title or Position	:	COMMISSIONER OF PUBLIC HEALTH
Name	:	DR. MARIELENA VELEZ DE BROWN
Credential	:	MD, MPH
Telephone Number	:	585-753-5327

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/10/2025

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1972769164 — PAMELA A ALLISON RN
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Directions to “COUNTY OF MONROE ” Practice Location

Language	Start Address	Practice Location

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