National Provider Identifier
Marisa Halstead, PA
Marisa Halstead, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 232-8940.
Source: public NPPES record, last updated December 18, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1205305224
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- November 20, 2018
- Last Updated
- December 18, 2023
Practice Location
- 30 N Union St Ste 105
- Rochester, NY 14607-1345
Phone: (585) 232-8940
Mailing Address
- 30 N Union St Ste 10
- Rochester, NY 14607-1345
Specialties
- Surgical Physician Assistant (363AS0400X)
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Full Record
- NPI
- 1205305224
- Entity Type
- Individual
- Last Name
- Halstead
- First Name
- Marisa
- Credential
- PA
- Mailing Street Address
- 30 N Union St Ste 10
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1345
- Mailing Country
- US
- Mailing Phone
- (585) 232-8940
- Mailing Fax
- (585) 232-8687
- Practice Street Address
- 30 N Union St Ste 105
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1345
- Practice Country
- US
- Practice Phone
- (585) 232-8940
- Practice Fax
- (585) 232-8687
- Enumeration Date
- November 20, 2018
- Last Updated
- December 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)