Healthcare Provider Details

I. General information

NPI: 1326020249
Provider Name (Legal Business Name): MARTIN STUART ZAND MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 07/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE BOX 675
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 675
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-4517
  • Fax: 585-442-9201
Mailing address:
  • Phone: 585-275-7753
  • Fax: 585-442-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number209991
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: