Individual
MARCO ERTREO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE DEPT OF, ROCHESTER, NY 14642-2113
(585) 275-2100
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
310483
NY
363AM0700X
Medical Physician Assistant
310483
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
07/07/2023
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