Individual
SUSAN DUDDY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-8138
(585) 276-1128
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-8138
(585) 276-1128
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
289015
NY
208000000X
Pediatrics Physician
46871
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
289015
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2011
Last updated
06/29/2023
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