National Provider Identifier
Celeste A. Song, M.D.
Celeste A. Song, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 473-2200.
Profile Overview
- NPI
- 1780843649
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 05, 2008
- Last Updated
- July 06, 2023
Practice Location
- 777 South Clinton Avenue
- Rochester, NY 14620
Phone: (585) 473-2200
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1780843649
- Entity Type
- Individual
- Last Name
- Song
- First Name
- Celeste
- Middle Name
- A.
- Credential
- M.D.
- Provider Other Last Name
- Sharplin
- Provider Other First Name
- Celeste
- Provider Other Middle Name
- A
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 777 South Clinton Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 473-2200
- Practice Street Address
- 777 South Clinton Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- June 05, 2008
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)