Healthcare Provider Details

I. General information

NPI: 1043447659
Provider Name (Legal Business Name): ERIN M MASABA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN M MURPHY MD

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 06/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RED CREEK DR SUITE 220
ROCHESTER NY
14623-4284
US

IV. Provider business mailing address

500 RED CREEK DR SUITE 220
ROCHESTER NY
14623-4284
US

V. Phone/Fax

Practice location:
  • Phone: 585-487-3378
  • Fax:
Mailing address:
  • Phone: 585-487-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number267984
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: