National Provider Identifier

Mary Elizabeth Bostock, M.D.

Mary Elizabeth Bostock, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 232-3210.

NPI 1922172311Rochester, NYObstetrics & Gynecology Physician

Profile Overview

NPI
1922172311
Provider Type
Individual
Primary Specialty
Obstetrics & Gynecology Physician
Enumeration Date
November 20, 2006
Last Updated
January 18, 2023

Practice Location

  • 990 South Ave
  • Suite 103
  • Rochester, NY 14620-2740

Phone: (585) 232-3210

Specialties

  • Obstetrics & Gynecology Physician (207V00000X)
Full Record
NPI
1922172311
Entity Type
Individual
Last Name
Bostock
First Name
Mary
Middle Name
Elizabeth
Credential
M.D.
Provider Other Last Name
Bostock
Provider Other First Name
M. Elizabeth
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
2
Mailing Street Address
990 South Ave
Mailing Address Line 2
Suite 103
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-2740
Mailing Country
US
Mailing Phone
(585) 232-3210
Mailing Fax
(585) 232-4657
Practice Street Address
990 South Ave
Practice Address Line 2
Suite 103
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2740
Practice Country
US
Practice Phone
(585) 232-3210
Practice Fax
(585) 232-4657
Enumeration Date
November 20, 2006
Last Updated
January 18, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 18, 2023
Taxonomies
Obstetrics & Gynecology Physician (207V00000X)
Other Identifiers
02283338 (NY)