# MADONNA OBGYN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205232758
- **Authorized official:** MADONNA TOMANI (OWNER)
- **Authorized official phone:** (585) 698-7077

## Contact information

- **Practice address:** 1882 WINTON RD S, SUITE 3, ROCHESTER, NY 14618-3950
- **Practice address phone:** (585) 698-7077
- **Practice address fax:** (585) 461-4105
- **Mailing address:** 1882 WINTON RD S, SUITE 3, ROCHESTER, NY 14618-3950
- **Mailing address phone:** (585) 698-7077
- **Mailing address fax:** (585) 461-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 207415 | NY | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 01/24/2020