National Provider Identifier
Jill A Abt, MD
Jill A Abt, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 368-4020.
Profile Overview
- NPI
- 1891223673
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 24, 2017
- Last Updated
- December 02, 2021
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4164
Phone: (585) 368-4020
Mailing Address
- 347 Rutgers Street
- Rochester, NY 14607
Specialties
- Pediatrics Physician (208000000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1891223673
- Entity Type
- Individual
- Last Name
- Abt
- First Name
- Jill
- Middle Name
- A
- Credential
- MD
- Provider Other Last Name
- Kulla
- Provider Other First Name
- Jill
- Provider Other Middle Name
- A
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 347 Rutgers Street
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607
- Mailing Country
- US
- Mailing Phone
- (617) 875-5065
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4164
- Practice Country
- US
- Practice Phone
- (585) 368-4020
- Enumeration Date
- May 24, 2017
- Last Updated
- December 02, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)