institution
Mary M. Gooley Hemophilia Center Inc
Clinic/Center in Rochester, New York
NPI 1568428621

Mary M. Gooley Hemophilia Center Inc is a Clinic/Center based in Rochester, NY. Mary M. Gooley Hemophilia Center Inc practices in Rochester, NY. The NPI Number for Mary M. Gooley Hemophilia Center Inc is 1568428621 and holds a License No. 33D0705405 (New York).

The current practice location address for Mary M. Gooley Hemophilia Center Inc is 1415 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-5700 and via fax at 585-922-5775.

Location: 1415 Portland Ave, Rochester, NY, 14621-3043
institution
Provider Profile Details
NPI Number
1568428621
Provider Name
Mary M. Gooley Hemophilia Center Inc
Credential
Provider Entity Type
Organization
Address
1415 Portland Ave, Rochester, NY, 14621-3043
Phone Number
585-922-5700
Fax Number
585-922-5775
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000921985001 01 NY BCWNY/HEALTHNOW
103346CJ 01 NY PREFERRED CARE
00355284 05 NY
014005944 01 NY BLUE CHOICE
50 01 NY BLUE CROSS
5643168 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
1415 Portland Ave
City
State
Zip
14621-3038
Phone Number
585-922-5700
Fax Number
585-922-5775
person
Provider Business Mailing Address Details
Address
1415 Portland Ave
City
State
Zip
14621-3038
Phone Number
585-922-5700
Fax Number
585-922-5775
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
33D0705405 (New York)
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., radiology, poor, and public health).
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