Active NPIIndividual provider

Sophia Avery

Physician Assistant in Rochester, New York

NPI Number1174167100
Practice location
1555 Long Pond RD, Rochester, NY 14626-4122
Fax
—
Last updated
August 3, 2026

Sophia Avery is a Physician Assistant based in Rochester, NY. Sophia Avery practices in Rochester, NY. The NPI Number for Sophia Avery is 1174167100 and holds a License No. 1159188 (NY). The current practice location address for Sophia Avery is 1555 Long Pond RD, Rochester, NY 14626-4122 and can be reached out via phone at 585-723-7000.

Provider Profile Details

NPI Number
1174167100
Provider Name
Sophia Avery
Provider Entity Type
Individual
Gender
Female
Address
1555 Long Pond RD, Rochester, NY 14626-4122
Phone Number
585-723-7000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2019
Last Update Date
August 3, 2026
Certification Date
August 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1555 Long Pond RD
Rochester, NY 14626-4122
Zip
14626-4122
Phone Number
585-723-7000
Rochester, NY 14626Get directions →

Provider Business Mailing Address Details

Address
7469 W Ridge RD
Brockport, NY 14420-9429
City
Brockport
State
NY
Zip
14420-9429
Phone Number
585-331-3143

License Information

License Number (1)
1159188
License State (1)
NY
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
PA01390
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sophia Avery?

The NPI number of Sophia Avery is 1174167100. It was assigned on November 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Sophia Avery?

Sophia Avery is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 1159188.

Where does Sophia Avery practice?

The practice location is 1555 Long Pond RD, Rochester, NY 14626-4122. The office can be reached at 585-723-7000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174167100 directly on the NPPES registry website.

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