Individual
ELISA SILVA SOARES SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE # 648, ROCHESTER, NY 14642-0001
(585) 273-3400
Mailing address
146 MEADOWBROOK RD, ROCHESTER, NY 14620-3032
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
P136226
NY
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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