National Provider Identifier

Veronica Jade Hvisdak, PA-C

Veronica Jade Hvisdak, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (586) 341-7500.

NPI 1174032171Rochester, NYPhysician Assistant

Profile Overview

NPI
1174032171
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 22, 2017
Last Updated
July 17, 2023

Practice Location

  • 919 Westfall RD Bldg C
  • Rochester, NY 14618-2638

Phone: (586) 341-7500

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
  • Child & Adolescent Psychiatry Physician (2084P0804X)
  • Physician Assistant (363A00000X)

Endpoints

  • vhvisdak249839@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1174032171
Entity Type
Individual
Last Name
Hvisdak
First Name
Veronica
Middle Name
Jade
Credential
PA-C
Provider Other Last Name
Miksch
Provider Other First Name
Vernica
Provider Other Middle Name
Jade
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
919 Westfall RD Bldg C
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2638
Practice Country
US
Practice Phone
(586) 341-7500
Enumeration Date
September 22, 2017
Last Updated
July 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 18, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Child & Adolescent Psychiatry Physician (2084P0804X), Physician Assistant (363A00000X)