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

Pediatric Cardiology

Organization Clinical Child & Adolescent Psychologist · NPI 1316986391

Pediatric Cardiology is a Clinical Child & Adolescent Psychologist in Rochester, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone: (585) 275-7787
Fax: (585) 275-2352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1316986391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Hetterich — Senior Director Of Finance Urmfg · (585) 756-4003
NPI enumeratedJune 6, 2006
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address601 Elmwood Ave, Box 635, Rochester, NY 14642-0001

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