National Provider Identifier
Mackenzie R. Pettinella, PA
Mackenzie R. Pettinella, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7870.
Profile Overview
- NPI
- 1003257809
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 10, 2013
- Last Updated
- January 04, 2023
Practice Location
- 1555 Long Pond RD
- Dept. Of Medicine
- Rochester, NY 14626-4122
Phone: (585) 723-7870
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- Mackenzie.Pettinella@rochesterregional.org
Direct Messaging Address | Rochester, NY 14621
Full Record
- NPI
- 1003257809
- Entity Type
- Individual
- Last Name
- Pettinella
- First Name
- Mackenzie
- Middle Name
- R.
- Credential
- PA
- Provider Other Last Name
- Lewis
- Provider Other First Name
- Mackenzie
- Provider Other Middle Name
- R.
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Dept. Of Medicine
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7870
- Practice Fax
- (585) 723-7871
- Enumeration Date
- July 10, 2013
- Last Updated
- January 04, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)