Pediatrics & Adolescent Medicine Group
Pediatric Adolescent Medicine
Pediatrics & Adolescent Medicine Group is a Rochester, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
601 Elmwood Ave, Box 635, Rochester, New York - 14642-0001. They can be contacted on phone at
585-275-7787 and fax number 585-275-2352.
NPI number (Unique professional ID) for Pediatrics & Adolescent Medicine Group is
1104861772 which was assigned by NPPES on 18 Jun, 2006 and it was last updated on 09 Aug, 2022.
Pediatrics & Adolescent Medicine Group 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.
Complete Profile:
Pediatrics & Adolescent Medicine Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Adolescent Medicine |
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Provider Name : | Pediatrics & Adolescent Medicine Group |
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Business Address:
Pediatrics & Adolescent Medicine Group address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 601 Elmwood Ave, Box 635 Rochester, NY, 14642-0001 United States |
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Phone Number : | 585-275-7787 |
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Fax Number : | 585-275-2352 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1104861772 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 18 Jun, 2006 |
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Last Updated On : | 09 Aug, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Jillm Hetterich |
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Official Title or Position : | SENIOR DIRECTOR OF FINANCE URMFG |
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Phone Number : | 585-756-4008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatrics & Adolescent Medicine Group are as mentioned. Primary taxonomy code for Pediatrics & Adolescent Medicine Group is
2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
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103TC2200X | Psychologist Clinical Child & Adolescent | No | | |
2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatrics & Adolescent Medicine Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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00485887 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 601 Elmwood Ave, Box 635 Rochester, NY, 14642-0001 United States |
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Phone Number : | 585-784-9749 |
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Business Location:
Patients can refer following map for directions to
Pediatrics & Adolescent Medicine Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.