National Provider Identifier
Katie Elizabeth Dimartino, PA
Katie Elizabeth Dimartino, 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) 723-7060.
Profile Overview
- NPI
- 1225385305
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 08, 2012
- Last Updated
- April 17, 2023
Practice Location
- 2655 Ridgeway Ave Ste 240
- Rochester, NY 14626-4296
Phone: (585) 723-7060
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1225385305
- Entity Type
- Individual
- Last Name
- Dimartino
- First Name
- Katie
- Middle Name
- Elizabeth
- Credential
- PA
- Provider Other Last Name
- Kenny
- Provider Other First Name
- Katie
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2655 Ridgeway Ave Ste 240
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4296
- Mailing Country
- US
- Mailing Phone
- (585) 723-7060
- Mailing Fax
- (585) 723-7325
- Practice Street Address
- 2655 Ridgeway Ave Ste 240
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4296
- Practice Country
- US
- Practice Phone
- (585) 723-7060
- Practice Fax
- (585) 723-7325
- Enumeration Date
- August 08, 2012
- Last Updated
- April 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 03524476 (NY), 12434137 (NY, Caqh)