| Roxhester Regional Health System | |
|
81 Lake Ave Rochester NY 14608-1410 | |
| (585) 368-6900 | |
| Not Available |
| Full Name | Roxhester Regional Health System |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 81 Lake Ave, Rochester, New York |
| Authorized Official Name and Position | Jennie Marie Miltello (CLINICAL MANAGER) |
| Authorized Official Contact | 5853686900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxhester Regional Health System 1044 N Goodman St Rochester NY 14609-3941 Ph: (585) 713-5598 | Roxhester Regional Health System 81 Lake Ave Rochester NY 14608-1410 Ph: (585) 368-6900 |
| NPI Number | 1841831252 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841831252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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