National Provider Identifier
Long Pond Pediatrics
Long Pond Pediatrics is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 225-0950.
Profile Overview
- NPI
- 1588765952
- Provider Type
- Organization
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- September 26, 2006
- Last Updated
- February 22, 2012
Practice Location
- 3 Saredon Place
- Suite 100
- Rochester, NY 14606
Phone: (585) 225-0950
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1588765952
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Long Pond Pediatrics
- Mailing Street Address
- 3 Saredon Place
- Mailing Address Line 2
- Suite 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606
- Mailing Country
- US
- Mailing Phone
- (585) 225-0950
- Mailing Fax
- (585) 225-9093
- Practice Street Address
- 3 Saredon Place
- Practice Address Line 2
- Suite 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606
- Practice Country
- US
- Practice Phone
- (585) 225-0950
- Practice Fax
- (585) 225-9093
- Enumeration Date
- September 26, 2006
- Last Updated
- February 22, 2012
- Authorized Official Last Name
- Kiernan
- Authorized Official First Name
- Maryanne
- Authorized Official Title
- Financial Officer
- Authorized Official Phone
- (585) 225-0950
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 02223729 (NY)