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

Pediatric Immun-Nephr-Rheumology

Organization Pediatric Allergy/Immunology Physician · NPI 1205940152

Pediatric Immun-Nephr-Rheumology is a Pediatric Allergy/Immunology Physician 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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X
Pediatric Rheumatology Physician Taxonomy 2080P0216X

Record details

NPI number1205940152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Hetterich — Authorized Official · (585) 756-4008
NPI enumeratedAugust 18, 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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