National Provider Identifier
Edie L Derian, M.D.
Edie L Derian, M.D. is listed in the NPPES registry with a primary specialty of Gynecology Physician in Rochester, NY and a listed phone number of (585) 922-4200.
Source: public NPPES record, last updated January 24, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1811963978
- Provider Type
- Individual
- Primary Specialty
- Gynecology Physician
- Enumeration Date
- February 27, 2006
- Last Updated
- January 24, 2018
Practice Location
- 1415 Portland Ave Ste 400
- Rochester, NY 14621-3022
Phone: (585) 922-4200
Specialties
- Gynecology Physician (207VG0400X)
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Full Record
- NPI
- 1811963978
- Entity Type
- Individual
- Last Name
- Derian
- First Name
- Edie
- Middle Name
- L
- Credential
- M.D.
- Mailing Street Address
- 1415 Portland Ave Ste 400
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3022
- Mailing Country
- US
- Mailing Phone
- (585) 922-4200
- Mailing Fax
- (585) 922-4922
- Practice Street Address
- 1415 Portland Ave Ste 400
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3022
- Practice Country
- US
- Practice Phone
- (585) 922-4200
- Practice Fax
- (585) 922-4922
- Enumeration Date
- February 27, 2006
- Last Updated
- January 24, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gynecology Physician (207VG0400X)
- Other Identifiers
- 001882980 (PA)