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Individual

ANNA DE BENEDETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3003
(585) 275-7546
(585) 461-3509
Mailing address
601 ELMOWWOD AVE BOX 697, ROCHESTER, NY 14642-0001
(585) 275-7546

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
280704
NY
207N00000X
Dermatology Physician
MFC1740
FL
207N00000X
Dermatology Physician
PG1596
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015274900
FL
Enumeration date
07/25/2014
Last updated
11/10/2023
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