PENFIELD PEDIATRICS LLC NPI 1629159496

NPI Information

  • NPI: 1629159496
  • Provider Name: PENFIELD PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 33D0726316
  • Address: 21 WILLOW POND WAY
    SUITE 200
    PENFIELD, NY
    ZIP 14526
  • Phone: (585) 377-0840

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NPI Details

PENFIELD PEDIATRICS, LLC is a pediatrics in Penfield, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PENFIELD PEDIATRICS, LLC NPI is 1629159496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 WILLOW POND WAY
SUITE 200
PENFIELD, NY
ZIP 14526-687
Phone: (585) 377-0840
Fax: (585) 377-9715

The provider's authorized official is Cynthia Arieno .
The authorized official title is Office Manager and has the following contact phone number (585) 377-8002.

The CLIA number assigned to this NPI record is 33D0726316 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.

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
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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