National Provider Identifier Database

PEDIATRIC IMMUN NEPHR RHEUMOLOGY
Pediatric Nephrology

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.


Contact Information

PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
601 ELMWOOD AVE
BOX 635
ROCHESTER, NY14642-0001
Phone: 585-275-7787
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Nephrology 2080P0210X
Pediatric Allergy/Immunology 2080P0201X
Pediatric Rheumatology 2080P0216X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY

NPI Number 1205940152
Legal business name
LBN
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
Authorized official JILL HETTERICH - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 08/18/2006
Last updated 04/28/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 03033272

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.

Reviews for PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY

There are currently no reviews for PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY


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