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Individual

SANDRA MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 RED CREEK DR, SUITE 101, ROCHESTER, NY 14623-4272
(585) 486-0600
(585) 486-0649
Mailing address
BOX 647, 601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 486-0600
(585) 486-0649

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
176631
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01552845
NY
01
101266FE
PREFERRED CARE
NY
01
7836338
AETNA
NY
01
920006593
PALMETTO GBA-RAILROAD MC
GA
01
920007534
PALMETTO GBA-RAILROAD MC
GA
01
P010176631
BLUE SHIELD
NY
01
P020176631
BLUE SHIELD
NY
Enumeration date
07/06/2006
Last updated
04/03/2013
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