National Provider Identifier
Kelly Eleanor Moulton Gullotta, M.D.
Kelly Eleanor Moulton Gullotta, M.D. is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician in Rochester, NY and a listed phone number of (585) 273-3919.
Profile Overview
- NPI
- 1053584086
- Provider Type
- Individual
- Primary Specialty
- Neonatal-Perinatal Medicine Physician
- Enumeration Date
- April 10, 2008
- Last Updated
- January 16, 2017
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 273-3919
Mailing Address
- 601 Elmwood Ave
- Box 635
- Rochester, NY 14642-0001
Specialties
- Neonatal-Perinatal Medicine Physician (2080N0001X)
- Neonatal-Perinatal Medicine Physician (2080N0001X)
Full Record
- NPI
- 1053584086
- Entity Type
- Individual
- Last Name
- Gullotta
- First Name
- Kelly
- Middle Name
- Eleanor Moulton
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Moulton
- Provider Other First Name
- Kelly
- Provider Other Middle Name
- Eleanor
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 273-3919
- Mailing Fax
- (585) 461-3614
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-3919
- Practice Fax
- (585) 461-3614
- Enumeration Date
- April 10, 2008
- Last Updated
- January 16, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neonatal-Perinatal Medicine Physician (2080N0001X), Neonatal-Perinatal Medicine Physician (2080N0001X)