| NPI | 1205940152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M HETTERICH Authorized Official 585-756-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-01-05 |