Pediatrics & Adolescent Medicine Group

LBN: Pediatrics & Adolescent Medicine Group
Pediatrics & Adolescent Medicine Group 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 Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Pediatrics & Adolescent Medicine Group 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
Fax: (585) 275-2352
Website:
Authorized official contact:
Name: Hetterich, Jill M

Profile Details

NPI number 1104861772
LBN Legal business name Pediatrics & Adolescent Medicine Group
DBA Doing business as
Authorized official Hetterich, Jill M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 9th, 2022 - about 3 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 1104861772 NPPES
New York MEDICAID 00485887

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