National Provider Identifier

Alison Elizabeth Moynihan, MD, PHD

Alison Elizabeth Moynihan, MD, PHD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 275-7546.

NPI 1598258634Rochester, NYDermatology Physician

Profile Overview

NPI
1598258634
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
June 13, 2018
Last Updated
July 17, 2023

Practice Location

  • 40 Celebration Dr
  • Rochester, NY 14620-2664

Phone: (585) 275-7546

Mailing Address

  • 601 Elmwood Ave Box 278797
  • Rochester, NY 14642-0001

Specialties

  • Dermatology Physician (207N00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1598258634
Entity Type
Individual
Last Name
Moynihan
First Name
Alison
Middle Name
Elizabeth
Credential
MD, PHD
Provider Other Last Name
Moynihan
Provider Other First Name
Alison
Provider Other Middle Name
Elizabeth
Provider Other Credential Text
MD, PHD
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave Box 278797
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-7546
Practice Street Address
40 Celebration Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2664
Practice Country
US
Practice Phone
(585) 275-7546
Enumeration Date
June 13, 2018
Last Updated
July 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 30, 2022
Taxonomies
Dermatology Physician (207N00000X), Medical Physician Assistant (363AM0700X)