person
Katie Elizabeth Dimartino, PA
Surgical Physician Assistant in Rochester, New York
NPI 1225385305

Katie Elizabeth Dimartino is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Katie Elizabeth Dimartino practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Katie Elizabeth Dimartino is 1225385305 and holds a License No. 015698 (New York).

The current practice location address for Katie Elizabeth Dimartino is 2655 Ridgeway Ave Ste 240, Rochester, NY and can be reached out via phone at 585-723-7060 and via fax at 585-723-7325.

Location: 2655 Ridgeway Ave Ste 240, Rochester, NY, 14626-4296
person
Provider Profile Details
NPI Number
1225385305
Provider Name
Katie Elizabeth Dimartino
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2655 Ridgeway Ave Ste 240, Rochester, NY, 14626-4296
Phone Number
585-723-7060
Fax Number
585-723-7325
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03524476 05 NY
12434137 01 NY CAQH
institution
Provider Business Practice Location Address Details
Address
2655 Ridgeway Ave Ste 240
City
State
Zip
14626-4296
Phone Number
585-723-7060
Fax Number
585-723-7325
person
Provider Business Mailing Address Details
Address
2655 Ridgeway Ave Ste 240
City
State
Zip
14626-4296
Phone Number
585-723-7060
Fax Number
585-723-7325
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
015698 (New York)
Definition
Definition to come...
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