| NPI | 1194855619 |
|---|---|
| Former Legal Business Name | HILL HAVEN |
| Entity Type | Organization |
| Authorized Contact | JOHN MIDOLO Vice President 585-922-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-09-21 |