National Provider Identifier

Ingrid Carolina Madero, MD

Ingrid Carolina Madero, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Clifton Springs, NY and a listed phone number of (315) 462-2000.

NPI 1366616047Clifton Springs, NYPsychiatry Physician

Profile Overview

NPI
1366616047
Provider Type
Individual
Primary Specialty
Psychiatry Physician
Enumeration Date
April 15, 2008
Last Updated
August 07, 2024

Practice Location

  • 2 Coulter RD Fl 2
  • Clifton Springs, NY 14432-1122

Phone: (315) 462-2000

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Psychiatry Physician (2084P0800X)
  • Child & Adolescent Psychiatry Physician (2084P0804X)

Endpoints

  • ihernandezselman219291@direct.rochesterregional.org

    Direct Messaging Address | Direct | Clifton Springs, NY 14432

Full Record
NPI
1366616047
Entity Type
Individual
Last Name
Madero
First Name
Ingrid
Middle Name
Carolina
Name Prefix
Dr.
Credential
MD
Provider Other Last Name
Hernandez Selman
Provider Other First Name
Ingrid
Provider Other Middle Name
Carolina
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
MD
Provider Other Last Name Type Code
5
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
2 Coulter RD Fl 2
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1122
Practice Country
US
Practice Phone
(315) 462-2000
Practice Fax
(315) 462-6373
Enumeration Date
April 15, 2008
Last Updated
August 07, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 07, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatry Physician (2084P0800X), Child & Adolescent Psychiatry Physician (2084P0804X)