Individual
EMMA MAE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 341-8130
Mailing address
29 ENWRIGHT DR, FAIRPORT, NY 14450-8422
(585) 329-5939
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
030225
NY
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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