Provider Demographics
NPI:1164664249
Name:WHALEY, NATALIE SUE (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SUE
Last Name:WHALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 668
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-487-3350
Mailing Address - Fax:585-334-0699
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-487-3350
Practice Address - Fax:585-334-0699
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279128207V00000X
390200000X
MDD76640207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program