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MONROE DDSO CLINIC PITTSFORD NPI 1063546778


NPI Information

NPI: 1063546778
Provider Name: MONROE DDSO CLINIC PITTSFORD
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1160 PITTSFORD VICTOR RD STE G
PITTSFORD, NY
ZIP 14534
Phone: (518) 402-4333
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MONROE DDSO CLINIC PITTSFORD is a developmental disabilities clinic center in Pittsford, NY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MONROE DDSO CLINIC PITTSFORD NPI is 1063546778. The provider is registered as an organization entity type.

The provider's business location address is:

1160 PITTSFORD VICTOR RD STE G
PITTSFORD, NY
ZIP 14534-825
Phone: (518) 402-4333

The provider's authorized official is Karla Smith .
The authorized official title is Director Of Central Operations and has the following contact phone number (518) 402-4333.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities00232123NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101410448MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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