Provider Demographics
NPI:1134477334
Name:HIS BRANCHES, INC.
Entity Type:Organization
Organization Name:HIS BRANCHES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCUORZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-235-2250
Mailing Address - Street 1:340 ARNETT BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-1147
Mailing Address - Country:US
Mailing Address - Phone:585-235-2250
Mailing Address - Fax:585-235-4131
Practice Address - Street 1:340 ARNETT BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1147
Practice Address - Country:US
Practice Address - Phone:585-235-2250
Practice Address - Fax:585-235-4131
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIS BRANCHES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-17
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701240R261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care