Provider Demographics
NPI:1770510067
Name:DUECY, ERIN E (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:DUECY
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:585-275-0638
Mailing Address - Fax:585-273-3359
Practice Address - Street 1:500 RED CREEK DR
Practice Address - Street 2:STE 120
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4284
Practice Address - Country:US
Practice Address - Phone:585-487-3400
Practice Address - Fax:585-334-3327
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230238207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7530525OtherAETNA
NY02498979Medicaid
NYP0102320238OtherBLUE SHIELD
NYMDH656OtherPREFERRED CARE
NYP010230238OtherBLUE CHOICE
NYMDH656OtherPREFERRED CARE
NYP010230238OtherBLUE CHOICE
NYJ400043507Medicare PIN
NYJ400001482Medicare PIN