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LEGACY PEDIATRICS NPI 1932561073


NPI Information

NPI: 1932561073
Provider Name: LEGACY PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D1071480

Address:
1815 SOUTH CLINTON AVENUE STE 360
ROCHESTER, NY
ZIP 14618
Phone: (585) 568-8330
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LEGACY PEDIATRICS is a pediatrics in Rochester, 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. LEGACY PEDIATRICS NPI is 1932561073. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1815 SOUTH CLINTON AVENUE STE 360
ROCHESTER, NY
ZIP 14618
Phone: (585) 568-8330
Fax: (585) 568-8327

The provider's authorized official is Janet R Casey .
The authorized official title is Partner and has the following contact phone number (585) 568-8330.

The CLIA number assigned to this NPI record is 33D1071480 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 3/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 4/28/2024

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