# PARKWAY PEDIATRICS & ADOLESCENT MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992749733
- **Authorized official:** DR. GRETCHEN SMITH BURKE M.D. (OWNER, PHYSICIAN)
- **Authorized official phone:** (585) 225-2610

## Contact information

- **Practice address:** 353 ISLAND COTTAGE RD, ROCHESTER, NY 14612-2349
- **Practice address phone:** (585) 225-2610
- **Practice address fax:** (585) 581-1396
- **Mailing address:** 353 ISLAND COTTAGE RD, ROCHESTER, NY 14612-2349
- **Mailing address phone:** (585) 225-2610
- **Mailing address fax:** (585) 581-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/13/2010
