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Individual

DR. KATHLEEN M DODSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
61 E MONROE AVE, PITTSFORD, NY 14534
(585) 264-0110
(585) 264-9469
Mailing address
61 E MONROE AVE, PITTSFORD, NY 14534
(585) 264-0110
(585) 264-9469

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0045471
NY
213E00000X
Podiatrist
P02331
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480011961
RAILROAD MEDICARE
NY
01
MD469M
PREFERRED CARE
01
P010004547
EXCELLUS
Enumeration date
06/06/2006
Last updated
11/20/2008
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