Individual
EDIE L DERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 PORTLAND AVE STE 400, ROCHESTER, NY 14621-3022
(585) 922-4200
(585) 922-4922
Mailing address
1415 PORTLAND AVE STE 400, ROCHESTER, NY 14621-3022
(585) 922-4200
(585) 922-4922
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
281646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001882980
—
PA
Enumeration date
02/27/2006
Last updated
01/24/2018
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