Provider Demographics
NPI:1831400274
Name:BARCZYS, COLETTE KIDDIE (MD)
Entity type:Individual
Prefix:DR
First Name:COLETTE
Middle Name:KIDDIE
Last Name:BARCZYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:COLETTE
Other - Middle Name:KIDDIE
Other - Last Name:COVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:497 BEAHAN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3403
Mailing Address - Country:US
Mailing Address - Phone:585-247-5400
Mailing Address - Fax:585-319-4124
Practice Address - Street 1:497 BEAHAN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3403
Practice Address - Country:US
Practice Address - Phone:585-247-5400
Practice Address - Fax:585-319-4124
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256183208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics