Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric & Adolescent Medical Assoc PC

Organization Pediatrics Physician · NPI 1629169834

Pediatric & Adolescent Medical Assoc PC is a Pediatrics Physician in Rome, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 W Liberty St
Rome, NY 13440
Phone: (315) 339-0401
Fax: (315) 339-2957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1629169834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Hardish — Business Manager · (315) 339-0401
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address117 W Liberty Street, Rome, NY 13440

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