MARY LU GLEESON


Address: 990 South Ave, Suite 207, Rochester, NY 14620
Phone: 5853410209

MARY LU GLEESON (NPI# 1326077181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326077181
Entity Type Individual
Full Name MARY LU GLEESON
Credential MD
Practice Address 990 South Ave
Suite 207
Rochester
NY 14620
Mailing Address 1000 South Ave
Box 58
Rochester
NY 14620
Practice Telephone 5853410209
Practice Fax Number 5853418096
Mailing Telephone 5853410209
Mailing Fax Number 5853418096
Enumeration Date 2006-07-02
Last Update Date 2012-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 177602 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01673981 05

Office Location

Street Address 990 SOUTH AVE
SUITE 207
City ROCHESTER
State NY
Zip Code 14620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063489839 Roger M Olander Obstetrics & Gynecology 990 South Ave, Suite 104a, Rochester, NY 14620 2006-03-01
1861836652 Highland's Women's Health Obstetrics & Gynecology 990 South Ave, Suite 103, Rochester, NY 14620-2763 2013-04-23
1033408810 Katina Marie Foster Obstetrics & Gynecology 990 South Ave, Suite 104, Rochester, NY 14620-2740 2011-04-01
1730405887 Brittany Marie Paivanas Obstetrics & Gynecology 990 South Ave, Suite 103, Rochester, NY 14620-2763 2010-04-14
1386968006 Daniel Blakely King Internal Medicine 990 South Ave, Suite 207, Rochester, NY 14620-2763 2010-03-24
1295993368 Stephen L. Kates, Md, PC Orthopaedic Surgery 990 South Ave, Suite 010, Rochester, NY 14620-2763 2008-05-27
1194917336 Marion E. Olander Physician Assistant 990 South Ave, Rochester, NY 14620-2763 2007-08-13
1164623849 Roan Jamison Glocker Surgery 990 South Ave, Ste 210, Rochester, NY 14620-2763 2007-05-30
1336359777 Amanda J Victory Obstetrics & Gynecology 990 South Ave, Suite 104, Rochester, NY 14620-2763 2007-05-23
1184764524 Southeast Obstetrics & Gynecology PC Obstetrics & Gynecology 990 South Ave, Suite 104, Rochester, NY 14620-2740 2007-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974174 Linda D Pratt Speech-Language Pathologist Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 2020-02-20
1609417617 Maisie Katherine Pipher Physician Assistant 110 Crittenden Blvd, Rochester, NY 14620 2019-10-01
1215592332 Allison Mckeown Student in an Organized Health Care Education/Training Program 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 2019-05-03
1114495736 Tabitha Domonique Griffin Licensed Practical Nurse 55 Forthill Terrace, Rochester, NY 14620 2018-11-13
1700371960 Deborah Paul Dermatology 40 Celebration Dr # 697, Rochester, NY 14620 2018-06-28
1942725791 Emily Catone Nurse Practitioner 252 Cobb Terrace, Rochester, NY 14620 2017-08-12
1104355593 Acacia Palmer Counselor 150 Mount Hope Avenue, Rochester, NY 14620 2017-06-08
1750818803 Meagan Michelle Goates Student in an Organized Health Care Education/Training Program 150 Crittenden Blvd, Rochester, NY 14620 2017-05-20
1386170470 Kendall Battle Licensed Practical Nurse 479 South Ave Apt B, Rochester, NY 14620 2017-05-10
1285167700 Gina Josette Kuehn Student in an Organized Health Care Education/Training Program 40 Celebration Dr # 278733, Rochester, NY 14620 2017-04-11
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326694225 Henry John James Ess Iv Do Pllc Internal Medicine 309 Exchange Blvd Ste A, Rochester, NY 14608-2708 2019-08-15
1588180087 Shelby Jo Lee Internal Medicine 2561 Lac De Ville Blvd Ste 100, Rochester, NY 14618-5645 2017-08-16
1598294704 Ayad Sadda Internal Medicine 1425 Portland Ave Ste 287, Rochester, NY 14621-3011 2017-06-09
1184150567 Kayla Leonard Correia-staudt Internal Medicine 959 Panorama Trl S Ste 100, Rochester, NY 14625-2311 2017-05-04
1912438342 William J. Brorein, Jr., M.d., Ph.d. Internal Medicine 2237 Clinton Ave S, Rochester, NY 14618-2623 2017-03-27
1871944520 Kayleigh Punch Internal Medicine 2655 Ridgeway Ave Ste 480, Rochester, NY 14626-4296 2016-06-23
1003260837 Natalia Golub Internal Medicine 30 Hagen Dr Ste 320, Rochester, NY 14625 2016-04-18
1699161018 Gregory Rosic Internal Medicine 6 Healthcare Dr Ste 2, Rochester, NH 03867-4499 2015-04-13
1437543097 Kathleen Skye Kemp Internal Medicine 2400 S Clinton Ave Ste G2, Rochester, NY 14618 2015-03-22
1386086957 Robert M Kerper Md, Pllc Internal Medicine 26 South Goodman Street, Rochester, NY 14607 2013-07-24
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Competitor

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City ROCHESTER
Zip Code 14620

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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