Organization
LONG POND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE KIERNAN MD (FINANCIAL OFFICER)
(585) 225-0950
Entity
Organization
Contact information
Practice address
3 SAREDON PLACE, SUITE 100, ROCHESTER, NY 14606
(585) 225-0950
(585) 225-9093
Mailing address
3 SAREDON PLACE, SUITE 100, ROCHESTER, NY 14606
(585) 225-0950
(585) 225-9093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02223729
—
NY
Enumeration date
09/26/2006
Last updated
02/22/2012
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