National Provider Identifier
Carol Ann Gagnon, M.D.
Carol Ann Gagnon, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 247-5400.
Profile Overview
- NPI
- 1134272867
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- January 18, 2007
- Last Updated
- June 30, 2017
Practice Location
- 497 Beahan RD
- Rochester, NY 14624-3403
Phone: (585) 247-5400
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1134272867
- Entity Type
- Individual
- Last Name
- Gagnon
- First Name
- Carol
- Middle Name
- Ann
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 497 Beahan RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3403
- Mailing Country
- US
- Mailing Phone
- (585) 247-5400
- Mailing Fax
- (585) 319-4124
- Practice Street Address
- 497 Beahan RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3403
- Practice Country
- US
- Practice Phone
- (585) 247-5400
- Practice Fax
- (585) 319-4124
- Enumeration Date
- January 18, 2007
- Last Updated
- June 30, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 010193228 (NY, Blue Choice), 01613309 (NY), 101484DL (NY, Preferred Care), 3464 (NY, Blue Cross & Blue Shield)