Provider Demographics
NPI:1225045420
Name:COX, ELIZABETH M (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:COX
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 1:738 LIBRARY ROAD
Mailing Address - Street 2:PO BOX 270617
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14627-0617
Mailing Address - Country:US
Mailing Address - Phone:585-275-2662
Mailing Address - Fax:585-276-0149
Practice Address - Street 1:738 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14627-0617
Practice Address - Country:US
Practice Address - Phone:585-275-2662
Practice Address - Fax:585-276-0149
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195048207R00000X
NY195048-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400042262Medicare PIN
NYG51686Medicare UPIN
14343BMedicare ID - Type Unspecified