Provider Demographics
NPI:1447641493
Name:CHHUNY, LLC
Entity type:Organization
Organization Name:CHHUNY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-867-4833
Mailing Address - Street 1:2300 BUFFALO RD BLDG 500B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1370
Mailing Address - Country:US
Mailing Address - Phone:585-867-4833
Mailing Address - Fax:
Practice Address - Street 1:2300 BUFFALO RD BLDG 500B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1370
Practice Address - Country:US
Practice Address - Phone:585-867-4833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04277941Medicaid