Provider Demographics
NPI:1861791485
Name:ROWE, REGINA KAY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:KAY
Last Name:ROWE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PEDIATRICS 601 ELMWOOD AVENUE BOX 690
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-2726
Mailing Address - Country:US
Mailing Address - Phone:585-275-7843
Mailing Address - Fax:585-242-9733
Practice Address - Street 1:PEDIATRIC INFECTIOUS DISEASES 601 ELMWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-275-7843
Practice Address - Fax:585-242-9733
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9117208000000X, 2080P0208X
NY301716-012080P0208X
NY3017162080P0208X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program