Provider Demographics
NPI:1982631859
Name:HESS, HENRY M (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:M
Last Name:HESS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 SOUTH CLINTON AVEUNE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2623
Mailing Address - Country:US
Mailing Address - Phone:585-271-7800
Mailing Address - Fax:585-473-6301
Practice Address - Street 1:2255 S CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2623
Practice Address - Country:US
Practice Address - Phone:585-271-7800
Practice Address - Fax:585-473-6301
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135146-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY102304OtherPREFERRED CARE
NY4479540OtherAETNA
NY4479540OtherAETNA
NY17609BMedicare ID - Type Unspecified