Organization · Type 2 NPI

Ped Physical Disabilities

Neurological Surgery Physician · Rochester, NY

NPI number 1508809872 Active

Practice location

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

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician Primary	207T00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Pediatric Neurodevelopmental Disabilities Physician	2080P0008X	None listed
Urology Physician	208800000X	None listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1508809872

Ped Physical Disabilities's National Provider Identifier is 1508809872, issued on Jun 14, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Rochester, NY. The record was last updated on Sep 11, 2025.