| Greater Rochester Neurology | |
|
2101 Lac De Ville Blvd Rochester NY 14618-5643 | |
| (585) 546-3265 | |
| (585) 232-5158 |
| Full Name | Greater Rochester Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2101 Lac De Ville Blvd, Rochester, New York |
| Authorized Official Name and Position | Christine Cordova (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5855463265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Rochester Neurology 2101 Lac De Ville Blvd Rochester NY 14618-5643 Ph: (585) 546-3265 | Greater Rochester Neurology 2101 Lac De Ville Blvd Rochester NY 14618-5643 Ph: (585) 546-3265 |
| NPI Number | 1902852908 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 7416960539 |
|---|---|
| Medicare Enrollment ID | O20060713000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902852908 | NPI | - | NPPES |
| 03974898 | Medicaid | NY | |
| 11990F | Other | NY | MEDICARE |
| 01642644 | Medicaid | NY | |
| 231421 | Other | NY | NYS LICENSE |
| 011640 | Other | NY | NYS LICENSE |
| 04899634 | Medicaid | NY | |
| 02785486 | Medicaid | NY | |
| 245745 | Other | NY | NYS LICENSE |
| RB8433 | Other | NY | MEDICARE |
| 009552 | Other | NY | NYS LICENSE |
| 02909722 | Medicaid | NY | |
| 1400028666 | Other | NY | MEDICARE |
| 199685-1 | Other | NY | NYS LICENSE |
| P98714 | Other | NY | MEDICARE |
| RB0576 | Other | NY | MEDICARE |
| RB8434 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | James C Azurin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932182649 PECOS PAC ID: 1951314079 Enrollment ID: I20060713000083 |
| Provider Name | Natan Khishchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821202441 PECOS PAC ID: 8224128012 Enrollment ID: I20071217000683 |
| Provider Name | Allen Danforth Pettee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780671511 PECOS PAC ID: 7315078847 Enrollment ID: I20100628000745 |
Khadijah Tillman, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chelmsford Rd, Rochester, NY 14618 Phone: 585-713-2071 Fax: 585-461-5503 | |
Sleep Insights Management Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hagen Dr, Suite 120, Rochester, NY 14625 Phone: 585-385-6070 | |
Linden Oaks Sexual Abuse Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Linden Oaks Ste 200, Rochester, NY 14625 Phone: 585-586-6840 Fax: 585-586-7951 | |
Gaskill Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Weiland Rd Ste 200, Rochester, NY 14626 Phone: 585-510-6110 Fax: 585-684-8362 | |
Strong Tower Mental Health Counseling Of New York, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Northaven Ter, Rochester, NY 14621 Phone: 631-835-5864 | |
Wingspan Counseling Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95 Allens Creek Rd Ste 9, Rochester, NY 14618 Phone: 585-568-7864 Fax: 855-523-1669 | |
Naomi Smith Mental Health Counselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Flower Dale Dr, Rochester, NY 14626 Phone: 585-204-0806 |