Organization
PEDIATRIC CRITICAL CARE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KNEBEL (BILLING MANAGER)
(585) 275-7787
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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