| NPI | 1093865701 |
|---|---|
| Doing Business As | RIDGEWOOD MED-PEDS |
| Entity Type | Organization |
| Authorized Contact | KRISTI COWELL Partner/Physician 585-255-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-08-30 |