DR. ELIZABETH SUPRA M.D.
NPI 1942350350
Pediatrics in Rochester, NY

Q: What is Elizabeth Supra's NPI number?

The NPI number for Elizabeth Supra is 1942350350. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Elizabeth Supra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Supra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2007

2225 CLINTON AVE S, ROCHESTER, NY 14618(585) 256-2210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Elizabeth Supra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH SUPRA M.D. (NPI 1942350350) is an individual pediatrics provider in Rochester, New York, licensed in New York (180331) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1942350350

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ELIZABETH SUPRACredential: M.D.

Location Address2225 CLINTON AVE SRochester, NY 14618-2623

Mailing Address17 Stonebridge LanePittsford, NY 14534

Phone(585) 256-2210

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942350350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 180331

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2225 CLINTON AVE S, Rochester, NY 14618

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN HARRIS MANGOLD PNP

Nurse Practitioner (Pediatrics)

2225 CLINTON AVE S
ROCHESTER, NY 14618

Monroe County (585) 256-2210

METRO FOOTCARE ASSOCIATES L.L.P.

Podiatrist (Foot & Ankle Surgery)

2225 CLINTON AVE S
ROCHESTER, NY 14618

Monroe County (585) 473-5051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Supra's NPI number?

The NPI number for Elizabeth Supra is 1942350350. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Elizabeth Supra located?

Elizabeth Supra practices at 2225 Clinton Ave S, Rochester, NY 14618. The listed phone number is (585) 256-2210.

What is Elizabeth Supra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Supra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.