Healthcare Provider Details

I. General information

NPI: 1861791485
Provider Name (Legal Business Name): REGINA KAY ROWE M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 07/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PEDIATRIC INFECTIOUS DISEASES 601 ELMWOOD AVENUE
ROCHESTER NY
14642
US

IV. Provider business mailing address

DEPARTMENT OF PEDIATRICS 601 ELMWOOD AVENUE BOX 690
ROCHESTER NY
14642-2726
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-7843
  • Fax: 585-242-9733
Mailing address:
  • Phone: 585-275-7843
  • Fax: 585-242-9733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP9117
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberP9117
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number301716-01
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number301716
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: