Provider Demographics
NPI:1124095054
Name:VILLAGE OF HONEOYE FALLS
Entity type:Organization
Organization Name:VILLAGE OF HONEOYE FALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-624-1711
Mailing Address - Street 1:PO BOX 23463
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14692-3463
Mailing Address - Country:US
Mailing Address - Phone:585-563-1112
Mailing Address - Fax:585-434-3312
Practice Address - Street 1:210 EAST STREET
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1201
Practice Address - Country:US
Practice Address - Phone:585-624-1711
Practice Address - Fax:585-624-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051118000008OtherFIDELIS
NYPVLGHONEYAMOtherMONROE PLAN
NY02249810Medicaid
NY590014973OtherMEDICARE RAILROAD
NYPVLGHONEYAMOtherMONROE PLAN