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Individual

MARY K MARROCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 275-6733
Mailing address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 275-6733

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
189158
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01414355
NY
Enumeration date
06/30/2006
Last updated
07/03/2023
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