Individual
MARANDA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(588) 368-4570
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OT017810
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
329092
NY
Other
Enumeration date
04/03/2017
Last updated
09/04/2024
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