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 |
|---|
| 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 |
|---|
| 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.