Provider Demographics
NPI:1093778623
Name:F S ROCHESTER INC
Entity Type:Organization
Organization Name:F S ROCHESTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-385-2820
Mailing Address - Street 1:3240 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4627
Mailing Address - Country:US
Mailing Address - Phone:585-385-2820
Mailing Address - Fax:
Practice Address - Street 1:3240 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4627
Practice Address - Country:US
Practice Address - Phone:585-385-2820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY115553OtherPREFERRED CARE
NYPFOOTSOLUTIOtherBLUE CHOICE
NY0702553OtherUNITED HEALTHCARE
NYFS0324146OtherBCBS
NY7425526OtherAETNA
NYFS0324146OtherBCBS