Provider Demographics
NPI:1336381532
Name:CAMPBELL, ERIN KATHLEEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KATHLEEN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:KATHLEEN
Other - Last Name:CORYAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:85 LANTERN LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1325
Mailing Address - Country:US
Mailing Address - Phone:607-437-9509
Mailing Address - Fax:
Practice Address - Street 1:85 LANTERN LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1325
Practice Address - Country:US
Practice Address - Phone:607-437-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2712352083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine