Provider Demographics
NPI:1154428431
Name:SCHOOLHOUSE ROAD PEDIATRIC, PC
Entity type:Organization
Organization Name:SCHOOLHOUSE ROAD PEDIATRIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMAROTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-456-1211
Mailing Address - Street 1:81 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3850
Mailing Address - Country:US
Mailing Address - Phone:518-456-1211
Mailing Address - Fax:
Practice Address - Street 1:81 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3850
Practice Address - Country:US
Practice Address - Phone:518-456-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty