National Provider Identifier
Stephanie Marchetta Ellens, PA
Stephanie Marchetta Ellens, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (852) 255-7675.
Profile Overview
- NPI
- 1255678652
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 07, 2013
- Last Updated
- August 31, 2020
Practice Location
- 2180 S Clinton Ave Ofc
- Rochester, NY 14618-2665
Phone: (852) 255-7675
Mailing Address
- 21 Cobb Ter
- Rochester, NY 14620-3339
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1255678652
- Entity Type
- Individual
- Last Name
- Ellens
- First Name
- Stephanie
- Middle Name
- Marchetta
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 21 Cobb Ter
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3339
- Mailing Country
- US
- Mailing Phone
- (810) 429-0430
- Mailing Fax
- (585) 276-1499
- Practice Street Address
- 2180 S Clinton Ave Ofc
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2665
- Practice Country
- US
- Practice Phone
- (852) 255-7675
- Practice Fax
- (585) 276-1499
- Enumeration Date
- January 07, 2013
- Last Updated
- August 31, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 31, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)