National Provider Identifier

Mallory Ayn Prideaux, M.D.

Mallory Ayn Prideaux, M.D. is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician in Rochester, NY and a listed phone number of (585) 275-6197.

NPI 1265859771Rochester, NYNeonatal-Perinatal Medicine Physician

Profile Overview

NPI
1265859771
Provider Type
Individual
Primary Specialty
Neonatal-Perinatal Medicine Physician
Enumeration Date
March 21, 2014
Last Updated
July 03, 2023

Practice Location

  • 601 Elmwood Ave # 651
  • Rochester, NY 14642-2916

Phone: (585) 275-6197

Mailing Address

  • 601 Elmwood Ave # 651
  • Rochester, NY 14642-0001

Specialties

  • Neonatal-Perinatal Medicine Physician (2080N0001X)

Endpoints

  • mprideaux116520@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1265859771
Entity Type
Individual
Last Name
Prideaux
First Name
Mallory
Middle Name
Ayn
Credential
M.D.
Mailing Street Address
601 Elmwood Ave # 651
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-1847
Practice Street Address
601 Elmwood Ave # 651
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-2916
Practice Country
US
Practice Phone
(585) 275-6197
Enumeration Date
March 21, 2014
Last Updated
July 03, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neonatal-Perinatal Medicine Physician (2080N0001X)