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Contact Information

PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER
601 ELMWOOD AVE
ROCHESTER, NY14642-0001
 Phone: 585-758-7671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER · (Female)

NPI # 1609024462
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2008
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 03071987
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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