Henrietta Pediatrics, Pllc

NPI #1912576034 in Rochester, New York

Provider Information

NPI Number: 1912576034
Entity Type: Organization
Organization Name: Henrietta Pediatrics, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Jun 22, 2021
Last Updated: Oct 22, 2021

Practice Location

Address: 1200 JEFFERSON RD STE 115
City: Rochester
State: New York
ZIP Code: 14623-3158
Phone: (585) 601-2600

Authorized Official

Name: DR. EMILIE ELLICOTT, DO
Title: PHYSICIAN
Phone: (585) 451-7014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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