# PEDIATRIC URGENT CARE OF ROCHESTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700359726
- **Legal business name:** PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
- **Authorized official:** PETER GRISANTI (CFO)
- **Authorized official phone:** (716) 807-7435

## Contact information

- **Practice address:** 6687 PITTSFORD-PALMYRA RD, SUITE 40, FAIRPORT, NY 14450-1445
- **Practice address phone:** (716) 636-5437
- **Mailing address:** 1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
- **Mailing address phone:** (716) 636-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 09/15/2025