Pediatric Immun-Nephr-Rheumology

LBN: Pediatric Immun-Nephr-Rheumology
Pediatric Immun-Nephr-Rheumology is an health care organization with primary practice located at 601 Elmwood Ave Box 635, Rochester NY 14642-0001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is the primary health care specialty. Pediatric Immun-Nephr-Rheumology can be contacted via phone (585) 275-7787, or through Hetterich, Jill M via phone (585) 756-4008.

Contact Information

Primary practice address
601 Elmwood Ave Box 635 Rochester NY 14642-0001
Phone: (585) 275-7787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hetterich, Jill M
Phone: (585) 756-4008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X

Profile Details

NPI number 1205940152
LBN Legal business name Pediatric Immun-Nephr-Rheumology
DBA Doing business as
Authorized official Hetterich, Jill M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 5th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205940152 NPPES
New York MEDICAID 03033272

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