Healthcare Provider Details

I. General information

NPI: 1992768782
Provider Name (Legal Business Name): PARKVIEW PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 PITTSFORD VICTOR RD
PITTSFORD NY
14534-3812
US

IV. Provider business mailing address

1050 PITTSFORD VICTOR RD
PITTSFORD NY
14534-3812
US

V. Phone/Fax

Practice location:
  • Phone: 585-383-1160
  • Fax: 585-383-8945
Mailing address:
  • Phone: 585-383-1160
  • Fax: 585-383-8945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY LEVINN
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-383-1160