National Provider Identifier

Elizabeth Anne Severino, MD

Elizabeth Anne Severino, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (852) 752-1005.

NPI 1700537552Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1700537552
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
January 13, 2022
Last Updated
June 13, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0005

Phone: (852) 752-1005

Mailing Address

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

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1700537552
Entity Type
Individual
Last Name
Severino
First Name
Elizabeth
Middle Name
Anne
Credential
MD
Mailing Street Address
601 Elmwood Ave Box 601G
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-2100
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0005
Practice Country
US
Practice Phone
(852) 752-1005
Enumeration Date
January 13, 2022
Last Updated
June 13, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
June 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)