Provider Demographics
NPI:1215071261
Name:RADEMACHER, ERIN R (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:RADEMACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:DONAHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:BOX 777
Mailing Address - Street 2:601 ELMWOOD AVENUE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-9784
Mailing Address - Fax:585-756-8054
Practice Address - Street 1:BOX 777
Practice Address - Street 2:601 ELMWOOD AVENUE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-275-9784
Practice Address - Fax:585-756-8054
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN180352080P0210X
NY2470022080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology