PARKWAY PEDIATRICS & ADOLESCENT MEDICINE NPI 1992749733

NPI Information

PARKWAY PEDIATRICS & ADOLESCENT MEDICINE is an adolescent medicine pediatrics in Rochester, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PARKWAY PEDIATRICS & ADOLESCENT MEDICINE NPI is 1992749733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

353 ISLAND COTTAGE RD
ROCHESTER, NY
ZIP 14612-349
Phone: (585) 225-2610
Fax: (585) 581-1396

The provider's authorized official is Gretchen Smith Burke .
The authorized official title is Owner, Physician and has the following contact phone number (585) 225-2610.

The CLIA number assigned to this NPI record is 33D1055447 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 10/13/2010.

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:

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