Depaul in Rochester - Addiction (substance Use Disorder)
Depaul - NPI 1417949850
Depaul is a Addiction (substance Use Disorder) in Rochester, New York. Depaul practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Depaul is 1417949850. The last update date is 2020-08-22.
Depaul's current location address is 774 W Main St, Rochester, New York. You can contact this provider via phone number 5854648870 and fax number 5854648077. The mailing address for Depaul is 774 W Main St, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Depaul |
|---|---|
| Address | 774 W Main St, Rochester, New York |
| Phone Number | 5854648870 |
| Fax Number | 5854648077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Whalen Jim |
| Telephone Number | 5854268000 |
NPI Number Detail
| NPI Number | 1417949850 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 774 W Main St |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146112331 |
| Phone Number | 5854648870 |
| Fax Number | 5854648077 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 689721 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Depaul by the Centers for Medicare & Medicaid Services?
The Depaul has been issued the NPI (National Provider Identifier) 1417949850. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Depaul is physically located?
The Depaul is physically situated at the following address: 774 W Main St, Rochester, NY, 146112331.
What is the Depaul's specialty and taxonomy code?
The Depaul's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417949850 to Depaul?
The Centers for Medicare & Medicaid Services originally issued the 1417949850 to Depaul on 2005-08-22.
As of what date were the Depaul's details last updated?
The information pertaining to the Depaul, including its address, specialty, and other details, was most recently updated on 2020-08-22.