National Provider Identifier
Michael Boland, PA-C
Michael Boland, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.
Profile Overview
- NPI
- 1184478679
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 12, 2024
- Last Updated
- October 28, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2100
Mailing Address
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-8410
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1184478679
- Entity Type
- Individual
- Last Name
- Boland
- First Name
- Michael
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8410
- Mailing Country
- US
- Mailing Phone
- (585) 275-2509
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2100
- Enumeration Date
- April 12, 2024
- Last Updated
- October 28, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 28, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)