Basic Information
| Provider Information | |||||||||
| NPI: | 1154772697 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROCHESTER MEDICINE, PLLC | ||||||||
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| OtherOrganizationName: | PULSE OCCUPATIONAL MEDICINE OF ROCHESTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 JOHN JAMES AUDUBON PKWY | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142281145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162044500 | ||||||||
| FaxNumber: | 8652913222 | ||||||||
| Practice Location | |||||||||
| Address1: | 2745 W RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | GREECE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146263038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5852255252 | ||||||||
| FaxNumber: | 5852255256 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2016 | ||||||||
| LastUpdateDate: | 06/27/2016 | ||||||||
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| AuthorizedOfficialLastName: | TINCH | ||||||||
| AuthorizedOfficialFirstName: | PAULA | ||||||||
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| AuthorizedOfficialTitleorPosition: | FINANCE SR. VP | ||||||||
| AuthorizedOfficialTelephone: | 5859221223 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0100X | Y | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
No ID Information.