National Provider Identifier
Deanna Helene Petersen, PA-C
Deanna Helene Petersen, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 396-6600.
Profile Overview
- NPI
- 1225504442
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 15, 2018
- Last Updated
- June 30, 2023
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1731
Phone: (585) 396-6600
Mailing Address
- 104 Hyland Dr
- North Syracuse, NY 13212-3811
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- dpetersen148064@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1225504442
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Deanna
- Middle Name
- Helene
- Credential
- PA-C
- Mailing Street Address
- 104 Hyland Dr
- Mailing City
- North Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13212-3811
- Mailing Country
- US
- Mailing Phone
- (315) 559-0875
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1731
- Practice Country
- US
- Practice Phone
- (585) 396-6600
- Enumeration Date
- October 15, 2018
- Last Updated
- June 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)