Provider Demographics
NPI:1366640575
Name:GREATER ROCHESTER DIGESTIVE & LIVER DISEASES CENTER
Entity Type:Organization
Organization Name:GREATER ROCHESTER DIGESTIVE & LIVER DISEASES CENTER
Other - Org Name:GREATER ROCHESTER DIGESTIVE & LIVER DISEASE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DSC
Authorized Official - Phone:585-325-2390
Mailing Address - Street 1:222 ALEXANDER ST
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4039
Mailing Address - Country:US
Mailing Address - Phone:585-325-2390
Mailing Address - Fax:585-325-4813
Practice Address - Street 1:222 ALEXANDER ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4039
Practice Address - Country:US
Practice Address - Phone:585-325-2390
Practice Address - Fax:585-325-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701238R261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical