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NPI Code Detail

MEDICARE: JEWISH HOME OF ROCHESTER

MEDICARE: JEWISH HOME OF ROCHESTER
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
1314000000XSkilled Nursing Facility2750304NNY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2335105OTHERNYMEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number : 1972590206
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH HOME OF ROCHESTER
Provider Business Mailing Address
First Line : 2021 WINTON RD S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3957
Country : US
Telephone Number : 585-784-6603
Fax Number : 585-341-2412
Provider Business Practice Location Address
First Line : 2021 WINTON RD S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3957
Country : US
Telephone Number : 585-784-6800
Fax Number : 585-341-2412
Authorized Official
Title or Position : CFO
Name : DEBORAH MCILVEEN
Credential :
Telephone Number : 585-784-6485
Provider Enumeration Date : 10/03/2005
Last Update Date : 02/08/2017

Similar Medicare Providers

1558364851 — MARIE AYDELOTTE M.D.
Practice Location Address:
2021 WINTON RD S
ROCHESTER, NY
14618-3957
Practice Phone: 585-784-6400
Practice Fax: 585-341-2370
1487652723 — DINA ROSE SANTORA NP
Practice Location Address:
2021 WINTON RD S
ROCHESTER, NY
14618-3957
Practice Phone: 585-784-6400
Practice Fax:
1003874322 — BRENDA B BARATTA MD
Practice Location Address:
2021 WINTON RD S
ROCHESTER, NY
14618-3957
Practice Phone: 585-784-6400
Practice Fax: 585-341-2370
1659318467 — DR. DANIEL MENDELSON MD, MS
Practice Location Address:
2021 WINTON RD S
ROCHESTER, NY
14618-3957
Practice Phone: 585-764-6400
Practice Fax: 585-341-2370
1972532554 — JYOTHSNA PONNURI MD
Practice Location Address:
2021 WINTON ROAD S , JEWISH HOME OF ROCHESTER
ROCHESTER, NY
14618-3957
Practice Phone: 585-784-6400
Practice Fax: 585-341-2370
1902825649 — DR. LAUREL A PFEIL MD
Practice Location Address:
2021 WINTON ROAD S.
ROCHESTER, NY
14618-3957
Practice Phone: 585-760-6351
Practice Fax: 585-760-6376

Directions to “JEWISH HOME OF ROCHESTER ” Practice Location

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