Jean Elizabeth Mack-Fogg in Rochester - Pediatrics
Jean Elizabeth Mack-Fogg - NPI 1023048600
Jean Elizabeth Mack-Fogg is a Pediatrics in Rochester, New York. Jean Elizabeth Mack-Fogg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jean Elizabeth Mack-Fogg is 1023048600. The last update date is 2018-07-24.
Jean Elizabeth Mack-Fogg's current location address is 601 Elmwood Ave, Rochester, New York. You can contact this provider via phone number 5852757787. The mailing address for Jean Elizabeth Mack-Fogg is 601 Elmwood Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Elizabeth Mack-Fogg |
|---|---|
| Address | 601 Elmwood Ave, Rochester, New York |
| Phone Number | 5852757787 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023048600 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2018-07-24 |
Provider Mailing Address Detail
| Address | 601 Elmwood Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146420001 |
| Phone Number | 5852757787 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | F380190 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2299521 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jean Elizabeth Mack-Fogg by the Centers for Medicare & Medicaid Services?
The Jean Elizabeth Mack-Fogg has been issued the NPI (National Provider Identifier) 1023048600 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jean Elizabeth Mack-Fogg is physically located?
The Jean Elizabeth Mack-Fogg is physically situated at the following address: 601 Elmwood Ave, Rochester, NY, 146420001.
What is Jean Elizabeth Mack-Fogg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jean Elizabeth Mack-Fogg is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
When was the Jean Elizabeth Mack-Fogg's 1023048600 issued?
The Jean Elizabeth Mack-Fogg's 1023048600 was issued on 2006-07-03.
As of what date were the details pertaining to Jean Elizabeth Mack-Fogg last refreshed?
The information related to the Jean Elizabeth Mack-Fogg, including its address, specialty, and other relevant details, was last updated on 2018-07-24.