National Provider Identifier

Maria Rosa Cordisco, M.D.

Maria Rosa Cordisco, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Dermatology Physician in Rochester, NY and a listed phone number of (585) 275-3872.

NPI 1700217544Rochester, NYPediatric Dermatology Physician

Profile Overview

NPI
1700217544
Provider Type
Individual
Primary Specialty
Pediatric Dermatology Physician
Enumeration Date
December 04, 2013
Last Updated
June 04, 2024

Practice Location

  • 601 Elmwood Ave
  • Box 697
  • Rochester, NY 14642-0001

Phone: (585) 275-3872

Specialties

  • Pediatric Dermatology Physician (207NP0225X)
  • Specialist (174400000X)
Full Record
NPI
1700217544
Entity Type
Individual
Last Name
Cordisco
First Name
Maria
Middle Name
Rosa
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 697
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-3872
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 697
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-3872
Enumeration Date
December 04, 2013
Last Updated
June 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dermatology Physician (207NP0225X), Specialist (174400000X)