National Provider Identifier

Martha Ross

Martha Ross is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-6590.

NPI 1730443425Fairport, NYSpecialist

Profile Overview

NPI
1730443425
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012

Practice Location

  • 6 N Main St
  • Suite 110
  • Fairport, NY 14450-1524

Phone: (585) 377-6590

Mailing Address

  • 41 Werner Park
  • Rochester, NY 14620-1642

Specialties

  • Specialist (174400000X)
Full Record
NPI
1730443425
Entity Type
Individual
Last Name
Ross
First Name
Martha
Name Prefix
MS.
Mailing Street Address
41 Werner Park
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1642
Mailing Country
US
Practice Street Address
6 N Main St
Practice Address Line 2
Suite 110
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1524
Practice Country
US
Practice Phone
(585) 377-6590
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)