National Provider Identifier

Phattarawadee N Maneerit, PA-C

Phattarawadee N Maneerit, PA-C is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 341-0901.

NPI 1205546694Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1205546694
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
November 28, 2022
Last Updated
February 20, 2023

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2733

Phone: (585) 341-0901

Mailing Address

  • 601 Elmwood Avenue Box 655
  • Rochester, NY 14642-0001

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1205546694
Entity Type
Individual
Last Name
Maneerit
First Name
Phattarawadee
Middle Name
N
Credential
PA-C
Mailing Street Address
601 Elmwood Avenue Box 655
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 341-0901
Enumeration Date
November 28, 2022
Last Updated
February 20, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)