Individual
JEANNE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 275-5282
(585) 273-1068
Mailing address
601 ELMWOOD AVE, BOX 656, ROCHESTER, NY 14642-0001
(585) 275-5282
(585) 273-1068
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
227609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529555
—
NY
Enumeration date
06/05/2006
Last updated
08/26/2011
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