Provider Demographics
NPI:1790876886
Name:CASEY, JANET R (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:R
Last Name:CASEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 S CLINTON AVE
Mailing Address - Street 2:STE 360
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-568-8830
Mailing Address - Fax:585-568-8327
Practice Address - Street 1:1815 S CLINTON AVE
Practice Address - Street 2:STE 360
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-568-8830
Practice Address - Fax:585-568-8327
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2023621208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
00026OtherBLUE CROSS/BLUE SHIELD
7658294OtherAETNA
000926454001OtherHEALTH NOW
NY01781713Medicaid
102870DLOtherPREFERRED CARE
7658294OtherAETNA