Pediatric & Adolescent Medical Assoc PC

NPI #1629169834 in Rome, New York

Provider Information

NPI Number: 1629169834
Entity Type: Organization
Organization Name: Pediatric & Adolescent Medical Assoc PC
Primary Specialty: Pediatrics
Enumeration Date: Sep 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 117 W LIBERTY STREET
City: Rome
State: New York
ZIP Code: 13440
Phone: (315) 339-0401

Authorized Official

Name: MRS. DIANE M HARDISH
Title: BUSINESS MANAGER
Phone: (315) 339-0401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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