Individual
MARIA CYNTHIA AVENDANO ENECILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 PORTLAND AVE STE 200, ROCHESTER, NY 14621-3022
(585) 922-0390
(585) 922-0395
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
227228
NY
Other
Enumeration date
05/16/2007
Last updated
12/11/2023
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