| Ridgewood Med-peds | |
|
3101 Ridge Rd W Building C Rochester NY 14626-3249 | |
| (585) 225-1700 | |
| (585) 225-1439 |
| Full Name | Ridgewood Med-peds |
|---|---|
| Speciality | Internal Medicine |
| Location | 3101 Ridge Rd W, Rochester, New York |
| Authorized Official Name and Position | Kristi Cowell (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 5852551700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgewood Med-peds 3101 Ridge Rd W Building C Rochester NY 14626-3249 Ph: (585) 225-1700 | Ridgewood Med-peds 3101 Ridge Rd W Building C Rochester NY 14626-3249 Ph: (585) 225-1700 |
| NPI Number | 1093865701 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093865701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| 208000000X | Pediatrics | (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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