GENESEE VASCULAR LABORATORY, INC (NPI# 1205839412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839412 |
| Entity Type | Organization |
| Organization Name | GENESEE VASCULAR LABORATORY, INC |
| Practice Address |
919 Westfall Rd Ste B100 Rochester NY 14618-2628 |
| Practice Telephone | 5854546610 |
| Practice Fax Number | 5854546564 |
| Mailing Telephone | 5854546610 |
| Mailing Fax Number | 5854546564 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | THOMAS E PENN (OWNER) |
| Authorized Official Telephone | 5854546610 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 116335 | NY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03158289 | 05 | |
| NY | 00446337 | 05 |
| Street Address |
919 WESTFALL RD STE B100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487198511 | Westside Podiatry Group | Podiatrist | 919 Westfall Rd, Bluiding C Suite 130, Rochester, NY 14618-2638 | 2016-12-08 |
| 1609239060 | Daniel Sirica | Psychiatry & Neurology | 919 Westfall Rd, Suite 100, Building C, Rochester, NY 14618-2628 | 2016-04-03 |
| 1679849632 | Peter Edward Morrison | Psychiatry & Neurology | 919 Westfall Rd, Bldg C-220, Rochester, NY 14618-2638 | 2012-03-23 |
| 1922307149 | Jamie Lynn Adams | Psychiatry & Neurology | 919 Westfall Rd, Building C Suit 100, Rochester, NY 14618 | 2011-03-28 |
| 1447565759 | Urmc Memory Care Program | Psychologist | 919 Westfall Rd, Bldg C, Ste 220, Rochester, NY 14618-2628 | 2010-08-11 |
| 1295051886 | Kelly Lynn Andrzejewski | Psychiatry & Neurology | 919 Westfall Rd, Bldg. C - Suite 220, Rochester, NY 14618-2638 | 2010-04-08 |
| 1811229230 | Stephen Francis Picchi | Social Worker | 919 Westfall Rd, Bldg B, Suite 230, Rochester, NY 14618-2638 | 2010-02-10 |
| 1073843702 | Margaret-ann Carno | Nurse Practitioner | 919 Westfall Rd, Building C Suite 210, Rochester, NY 14618-2638 | 2009-12-31 |
| 1528223377 | Nrg Compression Services, Inc | Durable Medical Equipment & Medical Supplies | 919 Westfall Rd, Building B Suite 200, Rochester, NY 14618-2638 | 2008-07-22 |
| 1295949964 | Colleen B Tomcik | Psychiatry & Neurology | 919 Westfall Rd, Bldg. C, Suite 220, Rochester, NY 14618-2638 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321294 | Jessica Hanson Pletsch | Specialist/Technologist, Other | 7749 Clarksville Rd, Rochester, IL 62563-8052 | 2017-04-24 |
| 1497241236 | Ellen Freeman | Specialist/Technologist, Other | 1882 Winton Rd S, Rochester, NY 14618-3950 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170445 | Nadine Alexandra Cunningham | Specialist/Technologist, Other | 49 Hampshire Way, Schenectady, NY 12309-1958 | 2020-09-25 |
| 1568096337 | Melissa Encarnacion | Specialist/Technologist, Other | 7 Fordham Hill Oval Apt 6f, Bronx, NY 10468-4834 | 2020-03-02 |
| 1275166597 | Saja Ababneh | Specialist/Technologist, Other | 17 Bay 34th St Apt 1r, Brooklyn, NY 11214-4208 | 2020-02-14 |
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1558928804 | Tara Rodie | Specialist/Technologist, Other | 1669 E 36th St, Brooklyn, NY 11234-4218 | 2019-05-22 |
| 1063078954 | Gina Mcmanus | Specialist/Technologist, Other | 7 High St Ste 201, Huntington, NY 11743-3417 | 2019-05-15 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1942762992 | Brendan Meade | Specialist/Technologist, Other | 317 Rose Ln, Smithtown, NY 11787-4419 | 2019-04-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GENESEE VASCULAR LABORATORY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.