| |
103 Canal Landing Blvd, Suite Number 3, Rochester, NY 14626-5108 | |
(585) 723-3440 | |
(585) 486-1052 |
Full Name | |
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Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 103 Canal Landing Blvd, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497985253 | NPI | - | NPPES |
1497985253 | Other | NY | ESSENCE |
1497985253 | Other | NY | MVP |
1497985253 | Other | NY | SIDNEY HILLMAN |
1497985253 | Other | NY | AETNA |
1497985253 | Other | NY | UNITED HEALTHCARE |
1497985253 | Other | NY | EMPIRE PLAN |
1497985253 | Other | NY | ESCO |
1497985253 | Other | NY | TRICARE |
1497985253 | Other | NY | WELLCARE |
1497985253 | Other | NY | NALC |
1497985253 | Other | NY | LOGISTICS HEALTH |
1497985253 | Other | NY | EXCELLUS-BLUE CHOICE |
1497985253 | Other | NY | HUMANA |
1497985253 | Other | NY | EXCELLUS BC/BS |
1497985253 | Other | NY | CIGNA |
1497985253 | Other | NY | MONROE PLAN |
Provider Name | Ronald M D Angelo |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1033281464 PECOS PAC ID: 3476634403 Enrollment ID: I20080116000415 |
Provider Name | Kyrsten Morgan Stephany |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1700394350 PECOS PAC ID: 5799033205 Enrollment ID: I20180731001990 |
Mailing Address | Practice Location Address |
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103 Canal Landing Blvd, Suite 3, Rochester, NY 14626-5108 Ph: (585) 723-3440 | 103 Canal Landing Blvd, Suite Number 3, Rochester, NY 14626-5108 Ph: (585) 723-3440 |