National Provider Identifier
Abby McIlwaine, PA-C
Abby McIlwaine, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 602-4500.
Profile Overview
- NPI
- 1104662394
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 08, 2024
- Last Updated
- August 26, 2024
Practice Location
- 699 S Main St Ste 3
- Canandaigua, NY 14424-2208
Phone: (585) 602-4500
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1104662394
- Entity Type
- Individual
- Last Name
- McIlwaine
- First Name
- Abby
- Credential
- PA-C
- Mailing Street Address
- 699 S Main St Ste 3
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2208
- Mailing Country
- US
- Practice Street Address
- 699 S Main St Ste 3
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2208
- Practice Country
- US
- Practice Phone
- (585) 602-4500
- Enumeration Date
- July 08, 2024
- Last Updated
- August 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)