Healthcare Provider Details
I. General information
NPI: 1912263013
Provider Name (Legal Business Name): MARGARET SAYRE CONNOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/03/2012
Last Update Date: 06/30/2023
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US
IV. Provider business mailing address
601 ELMWOOD AVE BOX 632
ROCHESTER NY
14642-0001
US
V. Phone/Fax
- Phone: 585-275-2821
- Fax: 585-461-1231
- Phone: 585-784-9750
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 298046 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: