JOHNNY COLE SR.


Address: 24 Jones Ave, Rochester, NY 14608-1252
Phone: 5857198523

JOHNNY COLE SR. (NPI# 1548793482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548793482
Entity Type Individual
Full Name JOHNNY COLE SR.
Credential CASAC
Practice Address 24 Jones Ave
Rochester
NY 14608-1252
Practice Telephone 5857198523
Practice Fax Number 5857198526
Mailing Telephone 5857198523
Mailing Fax Number 5857198526
Enumeration Date 2017-04-07
Last Update Date 2017-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
10911 NY Behavioral Health & Social Service Providers

Office Location

Street Address 24 JONES AVE
City ROCHESTER
State NY
Zip Code 14608-1252

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1467806703 Beverley Adams Licensed Practical Nurse 200 Frost Avenue, Rochester, NY 14608 2016-04-22
1497114037 Amanda Martinez Licensed Practical Nurse 125 Minnesota St, Rochester, NY 14608 2016-02-10
1366771750 Tracy Lynn Clark Licensed Practical Nurse 2 Backus St, Rochester, NY 14608 2009-12-14
1033397252 Tracy Stevens Registered Nurse 280 Seward Street, Rochester, NY 14608 2008-02-11
1578653929 Amy L Archer Social Worker 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 2006-10-14
1902906233 Kevin M Mcintyre Psychiatry & Neurology 81 Lake Ave., Rochester, NY 14608 2006-09-25
1427088913 Steven M Ess Chiropractor 309 Exchange Blvd, Rochester, NY 14608 2006-07-03
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City ROCHESTER
Zip Code 14608

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Dataset Information

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.

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