Provider Demographics
NPI:1245570191
Name:STRONG OBSTETRICS-GYNECOLOGY GROUP OF THE UNIVERSITY OF ROCHESTER
Entity Type:Organization
Organization Name:STRONG OBSTETRICS-GYNECOLOGY GROUP OF THE UNIVERSITY OF ROCHESTER
Other - Org Name:HIGHLAND WOMEN'S HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HETTERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-756-4003
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 668
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-273-3232
Mailing Address - Fax:585-256-3508
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 668
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-256-3887
Practice Address - Fax:585-256-3508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRONG OBSTETRICS-GYNECOLOGY GROUP OF THE UNIVERSITY OF ROCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-28
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty