| His Branches, Inc. | |
|
340 Arnett Blvd Rochester NY 14619-1147 | |
| (585) 235-9000 | |
| (585) 235-4131 |
| Full Name | His Branches, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Arnett Blvd, Rochester, New York |
| Authorized Official Name and Position | Valerie Scuorzo (PRACTICE MANAGER) |
| Authorized Official Contact | 5852359000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| His Branches, Inc. 340 Arnett Blvd Rochester NY 14619-1147 Ph: (585) 235-9000 | His Branches, Inc. 340 Arnett Blvd Rochester NY 14619-1147 Ph: (585) 235-9000 |
| NPI Number | 1134485840 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 01/03/2019 |
| Medicare PECOS PAC ID | 2163667833 |
|---|---|
| Medicare Enrollment ID | O20130328000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134485840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 2701240R (New York) | Primary |
| Provider Name | Chase H Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427087162 PECOS PAC ID: 8022000975 Enrollment ID: I20040331001154 |
| Provider Name | William R Morehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396735007 PECOS PAC ID: 0042242612 Enrollment ID: I20050902000507 |
| Provider Name | Kristi M Royko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881015808 PECOS PAC ID: 9638300536 Enrollment ID: I20140318000228 |
| Provider Name | Matthew D Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770506958 PECOS PAC ID: 0244456382 Enrollment ID: I20140724002354 |
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