Organization
GREECE PEDIATRIC MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN WANIA MD (OWNER)
(585) 504-6504
Entity
Organization
Contact information
Practice address
3208 LATTA RD, ROCHESTER, NY 14612-3084
(585) 504-6504
(585) 504-4923
Mailing address
203 SACKETS LNDG, ROCHESTER, NY 14612-1482
(585) 504-6504
(585) 504-4923
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03503766
—
NY
Enumeration date
03/19/2021
Last updated
03/19/2021
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