Pediatric Infectious Diseases

LBN: Pediatric Infectious Diseases
Pediatric Infectious Diseases is an health care organization with primary practice located at 601 Elmwood Ave Box 635, Rochester NY 14642-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as the primary health care specialty. Pediatric Infectious Diseases can be contacted via phone (585) 275-7787, or through Hetterich, Jill M via phone (585) 756-4003.

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) 756-4003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X

Profile Details

NPI number 1750312153
LBN Legal business name Pediatric Infectious Diseases
DBA Doing business as
Authorized official Hetterich, Jill M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 9th, 2018 - about 6 years ago

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 1750312153 NPPES
New York MEDICAID 00488573

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