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NPI Code Detail

MEDICARE: DR. ADAOBI IKPEZE MD, BSN RN

MEDICARE: DR. ADAOBI IKPEZE MD, BSN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician341253NY

General Provider Information

NPI Number : 1871170126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAOBI IKPEZE MD, BSN RN
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4164
Country : US
Telephone Number : 585-368-4020
Fax Number : 585-368-4009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 02/03/2026

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