Provider Demographics
NPI:1598947327
Name:HEALING ARTS FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:HEALING ARTS FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CORNELIA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:LENHERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-241-9510
Mailing Address - Street 1:1580 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3620
Mailing Address - Country:US
Mailing Address - Phone:585-241-9510
Mailing Address - Fax:585-241-9512
Practice Address - Street 1:1580 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3620
Practice Address - Country:US
Practice Address - Phone:585-241-9510
Practice Address - Fax:585-241-9512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01852051Medicaid
NY01852051Medicaid
NYBB6626Medicare PIN
NY01852051Medicaid