MEDICARE: HOME ACRES MEDICINE PLLC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1629835806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME ACRES MEDICINE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 18733
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-0733
Country	:	US
Telephone Number	:	585-354-4495
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 EASTLAND AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-1030
Country	:	US
Telephone Number	:	585-354-4495
Fax Number	:

Authorized Official
Title or Position	:	CEO/PHYSICIAN
Name	:	DR. CAROLYN STERN
Credential	:	MD
Telephone Number	:	585-354-4495

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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