National Provider Identifier
Ivana Kalanovic Dylag, M.D.
Ivana Kalanovic Dylag, 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) 922-2575.
Profile Overview
- NPI
- 1710278031
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 20, 2011
- Last Updated
- July 21, 2022
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-2575
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1710278031
- Entity Type
- Individual
- Last Name
- Dylag
- First Name
- Ivana
- Middle Name
- Kalanovic
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Kalanovic
- Provider Other First Name
- Ivana
- Provider Other Middle Name
- Vojislav
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-2575
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-2575
- Enumeration Date
- April 20, 2011
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)