| Rory P Houghtalen Md Pllc | |
|
100 Linden Oaks Suite 200 Rochester NY 14625-2840 | |
| (585) 586-1600 | |
| (585) 586-7951 |
| Full Name | Rory P Houghtalen Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 Linden Oaks, Rochester, New York |
| Authorized Official Name and Position | Rory P Houghtalen (SOLE MBR) |
| Authorized Official Contact | 5855861600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rory P Houghtalen Md Pllc 1584 Scribner Rd Penfield Penfield NY 14526-9752 Ph: (585) 586-1600 | Rory P Houghtalen Md Pllc 100 Linden Oaks Suite 200 Rochester NY 14625-2840 Ph: (585) 586-1600 |
| NPI Number | 1043745037 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Medicare PECOS PAC ID | 9537439146 |
|---|---|
| Medicare Enrollment ID | O20170713003556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043745037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 168914 (New York) | Primary |
| Provider Name | Rory P Houghtalen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215033949 PECOS PAC ID: 4183668189 Enrollment ID: I20050610000288 |
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