National Provider Identifier

Pediatric G I Nutrition

Pediatric G I Nutrition is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 275-7787.

NPI 1710918305Rochester, NYPediatric Gastroenterology Physician

Source: public NPPES record, last updated March 09, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1710918305
Provider Type
Organization
Primary Specialty
Pediatric Gastroenterology Physician
Enumeration Date
July 05, 2006
Last Updated
March 09, 2018

Practice Location

  • 601 Elmwood Ave
  • Box 635
  • Rochester, NY 14642-0001

Phone: (585) 275-7787

Authorized Official

Name
Jill M Hetterich
Title
Senior Director Of Finance Urmfg
Phone
(585) 756-4003

Specialties

  • Pediatric Gastroenterology Physician (2080P0206X)

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Organization Overview

Pediatric G I Nutrition operates publicly as UR Medicine’s Pediatric Gastroenterology, Hepatology and Nutrition division at Golisano Children’s Hospital in Rochester, New York. The program is part of Strong Memorial Hospital and describes itself as the largest pediatric gastroenterology center in Western New York, caring for children, adolescents, and young adults with digestive, liver, and nutritional disorders. Its services include specialized nutrition support, including the hospital-developed Pediatric Advanced Nutrition Support program for children with feeding difficulty and complex nutritional needs.

Full Record
NPI
1710918305
Entity Type
Organization
Organization Name
Pediatric G I Nutrition
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) 275-7787
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 635
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-7787
Enumeration Date
July 05, 2006
Last Updated
March 09, 2018
Authorized Official Last Name
Hetterich
Authorized Official First Name
Jill
Authorized Official Middle Name
M
Authorized Official Title
Senior Director Of Finance Urmfg
Authorized Official Phone
(585) 756-4003
Organization Subpart
No
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomies
Pediatric Gastroenterology Physician (2080P0206X)
Other Identifiers
00485878 (NY)