Provider Demographics
NPI:1548423874
Name:CARITAS FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:CARITAS FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-SPEACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-263-4441
Mailing Address - Street 1:1501 EAST AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1657
Mailing Address - Country:US
Mailing Address - Phone:888-263-4441
Mailing Address - Fax:
Practice Address - Street 1:1501 EAST AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1657
Practice Address - Country:US
Practice Address - Phone:888-263-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184561261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care