MARANDA SULLIVAN

ROCHESTER, NY
NPI1578095998
Former NameMARANDA VANFLEET
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: NY  329092)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: PA  OT017810)
Enumeration Date2017-04-03
Last Update Date2024-09-04
Business Address
MARANDA SULLIVAN
1555 LONG POND RD
ROCHESTER, NY 14626-4164
Phone number: 588-368-4570
Mailing Address
MARANDA SULLIVAN
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: