Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 199625 | NY |
N | 2080P0214X | Pediatric Pulmonologist | 199625 | NY |
NPI | 1538196274 |
---|---|
Provider Name | Dr. Heidi V Connolly |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 15/11/2007 |