National Provider Identifier
Sophia Avery
Sophia Avery is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7000.
Profile Overview
- NPI
- 1174167100
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 02, 2019
- Last Updated
- September 13, 2021
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7000
Mailing Address
- 7469 W Ridge RD
- Brockport, NY 14420-9429
Specialties
- Physician Assistant (363A00000X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1174167100
- Entity Type
- Individual
- Last Name
- Avery
- First Name
- Sophia
- Mailing Street Address
- 7469 W Ridge RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9429
- Mailing Country
- US
- Mailing Phone
- (585) 331-3143
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Enumeration Date
- November 02, 2019
- Last Updated
- September 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Obstetrics & Gynecology Physician (207V00000X)