MEDICARE: WESTFALL SURGERY CENTER LLP

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	261QA1903X	Ambulatory Surgical Clinic/Center	2701227R	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2735782	OTHER	NY	AETNA
2	000400762000	OTHER	NY	HEALTHNOW
3	103136CJ	OTHER	NY	PREFERRED CARE INFUSION
4	RQ	OTHER	NY	BLUES TRADITIONAL
5	014004585	OTHER	NY	BLUES HMO
6	103136FL	OTHER	NY	PREFERRED CARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639172828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTFALL SURGERY CENTER LLP

Provider Business Mailing Address
First Line	:	1065 SENATOR KEATING BLVD.
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618
Country	:	US
Telephone Number	:	585-256-1330
Fax Number	:	585-256-3823

Provider Business Practice Location Address
First Line	:	1065 SENATOR KEATING BLVD.
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618
Country	:	US
Telephone Number	:	585-256-1330
Fax Number	:	585-256-3823

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	MR. GARY J. SCOTT
Credential	:
Telephone Number	:	585-256-1330

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/08/2012

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Directions to “WESTFALL SURGERY CENTER LLP ” Practice Location

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