person
Edie L Derian, MD
Gynecology Physician in Rochester, New York
NPI 1811963978

Edie L Derian is a Gynecology Physician based in Rochester, NY and is specialized in Gynecology. Edie L Derian practices in Rochester, NY and has the professional credentials of MD. The NPI Number for Edie L Derian is 1811963978 and holds a License No. 281646 (New York).

The current practice location address for Edie L Derian is 1415 Portland Ave Ste 400, Rochester, NY and can be reached out via phone at 585-922-4200 and via fax at 585-922-4922.

Location: 1415 Portland Ave Ste 400, Rochester, NY, 14621-3022
person
Provider Profile Details
NPI Number
1811963978
Provider Name
Edie L Derian
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1415 Portland Ave Ste 400, Rochester, NY, 14621-3022
Phone Number
585-922-4200
Fax Number
585-922-4922
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001882980 05 PA
institution
Provider Business Practice Location Address Details
Address
1415 Portland Ave Ste 400
City
State
Zip
14621-3022
Phone Number
585-922-4200
Fax Number
585-922-4922
person
Provider Business Mailing Address Details
Address
1415 Portland Ave Ste 400
City
State
Zip
14621-3022
Phone Number
585-922-4200
Fax Number
585-922-4922
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
281646 (New York)
Definition
Definition to come...
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