Provider Demographics
NPI:1629150636
Name:INGEROWSKI, ERIC F (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:F
Last Name:INGEROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 LINDEN OAKS SUITE 200
Mailing Address - Street 2:PANORAMA PEDIATRIC GROUP RLLP
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625
Mailing Address - Country:US
Mailing Address - Phone:585-381-4982
Mailing Address - Fax:585-381-1821
Practice Address - Street 1:220 LINDEN OAKS SUITE 200
Practice Address - Street 2:PANORAMA PEDIATRIC GROUP RLLP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625
Practice Address - Country:US
Practice Address - Phone:585-381-4982
Practice Address - Fax:585-381-1821
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY212731208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01955013Medicaid
NY105883DLOtherPREFERRED CARE
NY7841250OtherAETNA
NYI46878Medicare UPIN
NYRA8857Medicare PIN