Portland Pediatric Group, Llp

LBN: Portland Pediatric Group, Llp
Portland Pediatric Group, Llp is an health care organization with primary practice located at 1700 Hudson Ave , Rochester NY 14617-5104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Portland Pediatric Group, Llp can be contacted via phone (585) 342-5694, or through Davis, Roderick G via phone (585) 342-5694.

Contact Information

Primary practice address
1700 Hudson Ave Rochester NY 14617-5104
Phone: (585) 342-5694
Fax: (585) 342-2345
Website:
Map and Directions
Authorized official contact:
Name: Davis, Roderick G Doctor of Medicine (MD)
Phone: (585) 342-5694

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207792 New York

Profile Details

NPI number 1174745285
LBN Legal business name Portland Pediatric Group, Llp
DBA Doing business as
Authorized official Davis, Roderick G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 31st, 2012 - about 14 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.

Request for update

Popular Providers