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Individual

KATHLEEN ANNE MANNAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
400 RED CREEK DR STE 200, ROCHESTER, NY 14623-4281
(585) 487-1400
(585) 487-1188
Mailing address
601 ELMWOOD AVE BOX 697, ROCHESTER, NY 14642-0001
(585) 275-7546

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
289437
NY
207ZD0900X
Dermatopathology (Pathology) Physician
289437
NY

Other

Enumeration date
06/04/2009
Last updated
06/29/2023
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