Gagnon, Carol A.

Gagnon, Carol A. is an individual health care provider with primary practice located at 497 Beahan Road , Rochester NY 14624-3403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gagnon, Carol A. can be contacted via phone (585) 247-5400.

Contact Information

Primary practice address
497 Beahan Road Rochester NY 14624-3403
Phone: (585) 247-5400
Fax: (585) 319-4124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 193228 New York

Profile Details

NPI number 1134272867
LBN Legal business name Gagnon, Carol A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 31st, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134272867 NPPES
New York Other 010193228 BLUE CHOICE
New York MEDICAID 01613309 BLUE CHOICE
New York Other 101484DL BLUE CHOICE
New York Other 3464 BLUE CHOICE

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