Individual
DR. MARY CHERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
150866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222
BLUE SHIELD GROUP
NY
01
—
7300203
AETNA
NY
01
—
G0189393590
BLUE CHOICE GROUP
NY
01
—
MDA632
PREFERRED CARE
NY
Enumeration date
07/12/2006
Last updated
07/09/2007
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