Individual
DR. MARY T CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-7787
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
171069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224271
—
NY
Enumeration date
07/11/2006
Last updated
06/29/2023
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