Provider Demographics
NPI:1073072690
Name:RITA REISINGER-NOVISKY
Entity Type:Organization
Organization Name:RITA REISINGER-NOVISKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:REISINGER-NOVISKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:585-424-2436
Mailing Address - Street 1:1100 UNIVERSITY AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1655
Mailing Address - Country:US
Mailing Address - Phone:585-424-2436
Mailing Address - Fax:
Practice Address - Street 1:1100 UNIVERSITY AVE STE 113
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1655
Practice Address - Country:US
Practice Address - Phone:585-424-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty