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Contact Information

MARY T CASERTA, MD
601 ELMWOOD AVE
BOX 635
ROCHESTER, NY14642-0001
 Phone: 585-275-7787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY T CASERTA · (Female)

NPI Number 1861427569
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 171069
  • NY Medicaid 01224271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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