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General NPI Number Information
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NPI Number | 1437312956
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Entity Type | Individual
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Provider Name | ANA MOLOVIC-KOKOVIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 370 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14621-1240
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Country | US
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Telephone | 585-922-0400
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Fax | 585-922-0455
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Provider Business Mailing Address
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Address Line | 141 COURTNEY DR
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City | FAIRPORT
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State | NY
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Zip | 14450-7065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 270458
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 270458
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License Number State | NY
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