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Contact Information

CAROL A GAGNON, MD
497 BEAHAN RD
ROCHESTER, NY14624
 Phone: 585-247-5400
 Fax: 585-319-4124
 Website: http://westside-pediatrics.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CAROL A GAGNON · (Female)

NPI Number 1134272867
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2007
Last updated 06/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 193228
  • NY Medicaid 01613309
  • NY Other 010193228 BLUE CHOICE
  • NY Other 3464 BLUE CROSS & BLUE SHIELD
  • NY Other 101484DL PREFERRED CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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