Provider Demographics
NPI:1841390374
Name:MARSOCCI, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:MARSOCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:919 WESTFALL RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2638
Mailing Address - Country:US
Mailing Address - Phone:585-244-9720
Mailing Address - Fax:585-244-9995
Practice Address - Street 1:919 WESTFALL RD
Practice Address - Street 2:BUILDING A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2638
Practice Address - Country:US
Practice Address - Phone:585-244-9720
Practice Address - Fax:585-244-9995
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY165739-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
06011OtherBLUE CROSS/BLUE SHIELD
5503322OtherAETNA
O010165739OtherEXCELLUS
101133DLOtherPREFERRED CARE
000926452001OtherHEALTH NOW
NY01063827Medicaid