Provider Demographics
NPI:1922172048
Name:CAMARDO, HALL & HOOVER ASSOCIATES
Entity Type:Organization
Organization Name:CAMARDO, HALL & HOOVER ASSOCIATES
Other - Org Name:WEST IRONDEQUOIT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST, PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:585-467-1420
Mailing Address - Street 1:2008 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-4304
Mailing Address - Country:US
Mailing Address - Phone:585-467-1420
Mailing Address - Fax:585-467-1434
Practice Address - Street 1:2008 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-4304
Practice Address - Country:US
Practice Address - Phone:585-467-1420
Practice Address - Fax:585-467-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYFA0623OtherPREFERRED CARE HMO