Organization · Type 2 NPI

Pediatrics & Adolescent Medicine Group

Pediatric Adolescent Medicine Physician · Rochester, NY

NPI number 1104861772 Active

Practice location

601 Elmwood Ave, Box 635
Rochester, NY 14642-0001

Fax (585) 275-2352

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: 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.

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About NPI 1104861772

Pediatrics & Adolescent Medicine Group's National Provider Identifier is 1104861772, issued on Jun 18, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Rochester, NY. The record was last updated on Apr 28, 2025.