| The Friendly Home | |
|
3156 East Ave Rochester NY 14618-3428 | |
| (585) 381-1600 | |
| Not Available |
| Full Name | The Friendly Home |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3156 East Ave, Rochester, New York |
| Authorized Official Name and Position | Christine a Johnson (CFO) |
| Authorized Official Contact | 5857893211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Friendly Home 3156 East Ave Rochester NY 14618-3428 Ph: (585) 381-1600 | The Friendly Home 3156 East Ave Rochester NY 14618-3428 Ph: (585) 381-1600 |
| NPI Number | 1306089784 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306089784 | NPI | - | NPPES |
| 00355582 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
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