Pediatric Development Clinic
LBN: Pediatric Development Clinic
Pediatric Development Clinic is an health care organization with primary practice located at 601 Elmwood Ave Box 635, Rochester NY 14642-0001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is the primary health care specialty.
Pediatric Development Clinic can be contacted via phone (585) 275-7787, or through Hetterich, Jill M via phone (585) 756-4003.
Contact Information
Primary practice address
601 Elmwood Ave Box 635
Rochester NY 14642-0001
Phone: (585) 275-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | ||
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X |
Profile Details
| NPI number | 1346286895 |
|---|---|
| LBN Legal business name | Pediatric Development Clinic |
| DBA Doing business as | |
| Authorized official | Hetterich, Jill M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 9th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346286895 | NPPES |
| New York | MEDICAID | 03032491 |
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