Individual
NEELAM AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 NORTH STREET; SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5221
Mailing address
100 KINGS HIGHWAY S, ROCHESTER, NY 14617-5504
(315) 787-5100
(315) 787-5221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
303902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396042107
MEDICARE
—
05
—
500632565
—
OR
Enumeration date
02/15/2011
Last updated
04/15/2021
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