person
Katharina Mariah Indivero, PA-C
Surgical Physician Assistant in Rochester, New York
NPI 1538536750

Katharina Mariah Indivero is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Katharina Mariah Indivero practices in Rochester, NY and has the professional credentials of PA-C. The NPI Number for Katharina Mariah Indivero is 1538536750 and holds a License No. 018882 (New York).

The current practice location address for Katharina Mariah Indivero is 1445 Portland Ave Ste 108, Rochester, NY and can be reached out via phone at 585-922-5550 and via fax at 585-922-5950.

Location: 1445 Portland Ave Ste 108, Rochester, NY, 14617-5504
person
Provider Profile Details
NPI Number
1538536750
Provider Name
Katharina Mariah Indivero
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1445 Portland Ave Ste 108, Rochester, NY, 14617-5504
Phone Number
585-922-5550
Fax Number
585-922-5950
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1445 Portland Ave Ste 108
City
State
Zip
14621-3008
Phone Number
585-922-5550
Fax Number
585-922-5950
person
Provider Business Mailing Address Details
Address
1445 Portland Ave Ste 108
City
State
Zip
14621-3008
Phone Number
585-922-5550
Fax Number
585-922-5950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
018882 (New York)
Definition
Definition to come...
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