Individual
MAUREEN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 463-2940
(585) 473-3516
Mailing address
2800 MARCUS AVE, BOX 655, NEW HYDE PARK, NY 11042-1113
(585) 463-2940
(585) 473-3516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
257626
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2007
Last updated
09/14/2018
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