National Provider Identifier
Mara Elizabeth Schroeder, PA-C
Mara Elizabeth Schroeder, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Clifton Springs, NY and a listed phone number of (315) 462-1530.
Profile Overview
- NPI
- 1104483858
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- May 28, 2019
- Last Updated
- September 14, 2019
Practice Location
- 2 Coulter RD
- Clifton Springs, NY 14432
Phone: (315) 462-1530
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1104483858
- Entity Type
- Individual
- Last Name
- Schroeder
- First Name
- Mara
- Middle Name
- Elizabeth
- Credential
- PA-C
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (315) 462-1530
- Mailing Fax
- (315) 462-5483
- Practice Street Address
- 2 Coulter RD
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432
- Practice Country
- US
- Practice Phone
- (315) 462-1530
- Practice Fax
- (315) 462-5483
- Enumeration Date
- May 28, 2019
- Last Updated
- September 14, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)