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65 Genesee St Fl 1 Rochester NY 14611-3201 | |
(585) 368-3720 | |
(585) 368-3723 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 65 Genesee St Fl 1, Rochester, New York |
Authorized Official Name and Position | Karen Kinter (DIRECTOR 340B PROGRAM) |
Authorized Official Contact | 5853683537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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75 Genesee St Fl 1 Rochester NY 14611-3201 Ph: (585) 368-3720 | 65 Genesee St Fl 1 Rochester NY 14611-3201 Ph: (585) 368-3720 |
NPI Number | 1609496504 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 09/17/2021 |
Identifier | Type | State | Issuer |
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1609496504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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