National Provider Identifier
Marisa Rose Mauro, PA
Marisa Rose Mauro, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 276-1128.
Profile Overview
- NPI
- 1073034237
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 28, 2017
- Last Updated
- July 17, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 276-1128
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- mmauro242421@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1073034237
- Entity Type
- Individual
- Last Name
- Mauro
- First Name
- Marisa
- Middle Name
- Rose
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 276-4113
- Mailing Fax
- (585) 276-1128
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 276-1128
- Practice Fax
- (585) 276-1128
- Enumeration Date
- June 28, 2017
- Last Updated
- July 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)