National Provider Identifier
Colette C Madison, PA
Colette C Madison, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Pittsford, NY and a listed phone number of (585) 248-5300.
Profile Overview
- NPI
- 1104884428
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 03, 2006
- Last Updated
- January 14, 2008
Practice Location
- 77 Sullys Trail
- Pittsford, NY 14534
Phone: (585) 248-5300
Mailing Address
- 800 Carter Street
- Attn Kelly Steele
- Rochester, NY 14621
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1104884428
- Entity Type
- Individual
- Last Name
- Madison
- First Name
- Colette
- Middle Name
- C
- Credential
- PA
- Provider Other Last Name
- Chaintreuil
- Provider Other First Name
- Colette
- Provider Other Middle Name
- E
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 800 Carter Street
- Mailing Address Line 2
- Attn Kelly Steele
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 339-4793
- Mailing Fax
- (585) 336-4845
- Practice Street Address
- 77 Sullys Trail
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534
- Practice Country
- US
- Practice Phone
- (585) 248-5300
- Practice Fax
- (585) 248-3427
- Enumeration Date
- May 03, 2006
- Last Updated
- January 14, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 970028206 (NY, Medicare Railroad #), 109289BJ (NY, Preferred Care #), P019007443 (NY, Blue Choice #), 9513997 (NY, Iha #)