National Provider Identifier

Michael Ben Colicchio, RPAC PHYSICIAN ASSIS

Michael Ben Colicchio, RPAC PHYSICIAN ASSIS is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 271-8860.

NPI 1174610950Rochester, NYPhysician Assistant

Profile Overview

NPI
1174610950
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 05, 2006
Last Updated
July 05, 2023

Practice Location

  • 1065 Senator Keating Blvd
  • Suite 220
  • Rochester, NY 14618

Phone: (585) 271-8860

Mailing Address

  • 1065 Senator Keating Blvd
  • Suite 220
  • Rochester, NY 14618-2600

Specialties

  • Physician Assistant (363A00000X)
  • Gastroenterology Physician (207RG0100X)

Endpoints

  • mcolicchio6944@direct.urmc.rochester.edu

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

Full Record
NPI
1174610950
Entity Type
Individual
Last Name
Colicchio
First Name
Michael
Middle Name
Ben
Name Prefix
Mr.
Credential
RPAC PHYSICIAN ASSIS
Mailing Street Address
1065 Senator Keating Blvd
Mailing Address Line 2
Suite 220
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2600
Mailing Country
US
Mailing Phone
(585) 271-8860
Mailing Fax
(585) 271-9067
Practice Street Address
1065 Senator Keating Blvd
Practice Address Line 2
Suite 220
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618
Practice Country
US
Practice Phone
(585) 271-8860
Practice Fax
(585) 271-9067
Enumeration Date
October 05, 2006
Last Updated
July 05, 2023
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Gastroenterology Physician (207RG0100X)
Other Identifiers
02650622 (NY)