Provider Demographics
NPI:1386969764
Name:DOLOHANTY, LINDSEY BRODELL (MD)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:BRODELL
Last Name:DOLOHANTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:ANN
Other - Last Name:BRODELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:601 ELMWOOD AVE.
Mailing Address - Street 2:BOX 697
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-7546
Mailing Address - Fax:585-461-3509
Practice Address - Street 1:990 SOUTH AVE.
Practice Address - Street 2:SUITE 206
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-341-9530
Practice Address - Fax:585-756-5111
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273896207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology