National Provider Identifier

Jennifer L Radi, DO

Jennifer L Radi, DO is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 426-4100.

NPI 1972720530Rochester, NYPediatrics Physician

Profile Overview

NPI
1972720530
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
April 18, 2007
Last Updated
November 19, 2019

Practice Location

  • 900 Elmgrove RD
  • Rochester, NY 14624-6236

Phone: (585) 426-4100

Specialties

  • Pediatrics Physician (208000000X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1972720530
Entity Type
Individual
Last Name
Radi
First Name
Jennifer
Middle Name
L
Name Prefix
Dr.
Credential
DO
Mailing Street Address
900 Elmgrove RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-6236
Mailing Country
US
Mailing Phone
(585) 426-4100
Mailing Fax
(585) 426-3701
Practice Street Address
900 Elmgrove RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-6236
Practice Country
US
Practice Phone
(585) 426-4100
Practice Fax
(585) 426-3701
Enumeration Date
April 18, 2007
Last Updated
November 19, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)
Other Identifiers
03229605 (NY)