Pediatrics & Adolescent Medicine Group in Rochester - Adolescent Medicine
Pediatrics & Adolescent Medicine Group - NPI 1104861772
Pediatrics & Adolescent Medicine Group is a Adolescent Medicine in Rochester, New York. Pediatrics & Adolescent Medicine Group practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatrics & Adolescent Medicine Group is 1104861772. The last update date is 2022-08-09.
Pediatrics & Adolescent Medicine Group's current location address is 601 Elmwood Ave, Rochester, New York. You can contact this provider via phone number 5857849749. The mailing address for Pediatrics & Adolescent Medicine Group is 601 Elmwood Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatrics & Adolescent Medicine Group |
|---|---|
| Address | 601 Elmwood Ave, Rochester, New York |
| Phone Number | 5857849749 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR DIR |
|---|---|
| Authorized Official Name | Hetterich M Jill |
| Telephone Number | 5857564008 |
NPI Number Detail
| NPI Number | 1104861772 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2022-08-09 |
Provider Mailing Address Detail
| Address | 601 Elmwood Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146420001 |
| Phone Number | 5857849749 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 485887 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pediatrics & Adolescent Medicine Group by the Centers for Medicare & Medicaid Services?
The Pediatrics & Adolescent Medicine Group has been issued the NPI (National Provider Identifier) 1104861772, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pediatrics & Adolescent Medicine Group's facilities are geographically located?
The facilities of Pediatrics & Adolescent Medicine Group are physically situated at the following location: 601 Elmwood Ave, Rochester, NY, 146420001.
What is the area of specialization for Pediatrics & Adolescent Medicine Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatrics & Adolescent Medicine Group is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When did Pediatrics & Adolescent Medicine Group receive its 1104861772 assignment?
The Pediatrics & Adolescent Medicine Group was assigned its 1104861772 on 2006-06-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Pediatrics & Adolescent Medicine Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pediatrics & Adolescent Medicine Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-09.