National Provider Identifier
Michael Wittek, RPA
Michael Wittek, RPA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Wolcott, NY and a listed phone number of (315) 594-9444.
Profile Overview
- NPI
- 1043301161
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 27, 2006
- Last Updated
- April 28, 2021
Practice Location
- 6254 Lawville RD
- Wolcott, NY 14590-9792
Phone: (315) 594-9444
Mailing Address
- 326 N Main St
- Canandaigua, NY 14424-1222
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- mwittek33987@direct.rochesterregional.org
Direct Messaging Address | Wolcott, NY 14590
Full Record
- NPI
- 1043301161
- Entity Type
- Individual
- Last Name
- Wittek
- First Name
- Michael
- Credential
- RPA
- Mailing Street Address
- 326 N Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1222
- Mailing Country
- US
- Practice Street Address
- 6254 Lawville RD
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590-9792
- Practice Country
- US
- Practice Phone
- (315) 594-9444
- Enumeration Date
- September 27, 2006
- Last Updated
- April 28, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- P019006198 (NY, Blue Choice Provider)