Individual
MARY ELIZABETH BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 SOUTH AVE, SUITE 103, ROCHESTER, NY 14620-2740
(585) 232-3210
(585) 232-4657
Mailing address
990 SOUTH AVE, SUITE 103, ROCHESTER, NY 14620-2740
(585) 232-3210
(585) 232-4657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
216055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02283338
—
NY
Enumeration date
11/20/2006
Last updated
01/18/2023
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