MEDICARE: SARA ROSE MACLEOD D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	303472	NY
2	207R00000X	Internal Medicine Physician	303472	NY

General Provider Information

NPI Number	:	1871911305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ROSE MACLEOD D.O.

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE BOX MED
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-275-2901
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-2648
Country	:	US
Telephone Number	:	585-275-2901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	07/03/2023

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Directions to “ SARA ROSE MACLEOD D.O.” Practice Location

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