Monroe Ddso Clinic Pittsford

LBN: Monroe Ddso Clinic Pittsford
Monroe Ddso Clinic Pittsford is an health care organization with primary practice located at 1160 Pittsford Victor Rd Ste G , Pittsford NY 14534-3825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Monroe Ddso Clinic Pittsford can be contacted via phone (518) 402-4333, or through Smith, Karla via phone (518) 402-4333.

Contact Information

Primary practice address
1160 Pittsford Victor Rd Ste G Pittsford NY 14534-3825
Phone: (518) 402-4333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Karla
Phone: (518) 402-4333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 00232123 New York

Profile Details

NPI number 1063546778
LBN Legal business name Monroe Ddso Clinic Pittsford
DBA Doing business as
Authorized official Smith, Karla
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063546778 NPPES
New York MEDICAID 01410448

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