Mary M. Gooley Hemophilia Center Inc in Rochester - Clinic/center
Mary M. Gooley Hemophilia Center Inc - NPI 1568428621
Mary M. Gooley Hemophilia Center Inc is a Clinic/center in Rochester, New York. Mary M. Gooley Hemophilia Center Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Mary M. Gooley Hemophilia Center Inc is 1568428621. The last update date is 2021-03-02.
Mary M. Gooley Hemophilia Center Inc's current location address is 1415 Portland Ave Ste 500, Rochester, New York. You can contact this provider via phone number 5859225700 and fax number 5859225775. The mailing address for Mary M. Gooley Hemophilia Center Inc is 1415 Portland Ave Ste 500, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary M. Gooley Hemophilia Center Inc |
|---|---|
| Address | 1415 Portland Ave Ste 500, Rochester, New York |
| Phone Number | 5859225700 |
| Fax Number | 5859225775 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Wilmarth Tom |
| Telephone Number | 5859225700 |
NPI Number Detail
| NPI Number | 1568428621 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2021-03-02 |
Provider Mailing Address Detail
| Address | 1415 Portland Ave Ste 500 |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146213043 |
| Phone Number | 5859225700 |
| Fax Number | 5859225775 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 33D0705405 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 921985001 | NY | BCWNY/HEALTHNOW | |
| 103346CJ | NY | PREFERRED CARE | |
| 355284 | NY | -- | |
| 14005944 | NY | BLUE CHOICE | |
| 50 | NY | BLUE CROSS | |
| 5643168 | NY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary M. Gooley Hemophilia Center Inc by the Centers for Medicare & Medicaid Services?
The Mary M. Gooley Hemophilia Center Inc has been issued the NPI (National Provider Identifier) 1568428621, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary M. Gooley Hemophilia Center Inc is geographically located?
The Mary M. Gooley Hemophilia Center Inc is physically situated at the following location: 1415 Portland Ave Ste 500, Rochester, NY, 146213043.
What is the Mary M. Gooley Hemophilia Center Inc's specialty and taxonomy code?
The Mary M. Gooley Hemophilia Center Inc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Mary M. Gooley Hemophilia Center Inc receive its 1568428621 assignment from the Centers for Medicare & Medicaid Services?
The Mary M. Gooley Hemophilia Center Inc was assigned its 1568428621 by the Centers for Medicare & Medicaid Services on 2006-04-25.
When was the information regarding Mary M. Gooley Hemophilia Center Inc most recently updated?
The details pertaining to the Mary M. Gooley Hemophilia Center Inc, including its address, specialty, and other relevant information, were last refreshed on 2021-03-02.