Provider Demographics
NPI:1326694225
Name:HENRY JOHN JAMES ESS IV DO PLLC
Entity Type:Organization
Organization Name:HENRY JOHN JAMES ESS IV DO PLLC
Other - Org Name:ROCHESTER INTEGRATED MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:JJ
Authorized Official - Last Name:ESS
Authorized Official - Suffix:IV
Authorized Official - Credentials:DO
Authorized Official - Phone:585-454-4190
Mailing Address - Street 1:309 EXCHANGE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-2708
Mailing Address - Country:US
Mailing Address - Phone:585-454-4190
Mailing Address - Fax:585-454-4191
Practice Address - Street 1:309 EXCHANGE BLVD STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-2708
Practice Address - Country:US
Practice Address - Phone:585-454-4190
Practice Address - Fax:585-454-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty