Provider Demographics
NPI:1710903083
Name:MARONIAN, HOVANESS H (MD)
Entity Type:Individual
Prefix:DR
First Name:HOVANESS
Middle Name:H
Last Name:MARONIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RIDGEWAY ESTS
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4283
Mailing Address - Country:US
Mailing Address - Phone:585-227-4418
Mailing Address - Fax:
Practice Address - Street 1:14 RIDGEWAY ESTS
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4283
Practice Address - Country:US
Practice Address - Phone:585-227-4418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117663208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery