Organization
PARKVIEW PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEVINN (OFFICE MANAGER)
(585) 383-1160
Entity
Organization
Contact information
Practice address
1050 PITTSFORD VICTOR RD, PITTSFORD, NY 14534-3812
(585) 383-1160
(585) 383-8945
Mailing address
1050 PITTSFORD VICTOR RD, PITTSFORD, NY 14534-3812
(585) 383-1160
(585) 383-8945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0185033590
EXCELLUS MANAGED CARE
NY
Enumeration date
04/11/2006
Last updated
08/22/2020
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