Individual
LINDA D MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-2296
Mailing address
601 ELMWOOD AVE BOX 668, ROCHESTER, NY 14642-0001
(585) 335-2296
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02002888
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
212616-01
NY
363AM0700X
Medical Physician Assistant
212616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200327270
—
IN
Enumeration date
09/07/2005
Last updated
07/22/2023
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