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General NPI Number Information
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NPI Number | 1700817608
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Entity Type | Individual
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Provider Name | SANDRA MCDONALD MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 125 RED CREEK DR SUITE 101
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City | ROCHESTER
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State | NY
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Zip | 14623-4272
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Country | US
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Telephone | 585-486-0600
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Fax | 585-486-0649
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Provider Business Mailing Address
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Address Line | BOX 647 601 ELMWOOD AVE.
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-486-0600
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Fax | 585-486-0649
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 176631
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License Number State | NY
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