National Provider Identifier

Charley Elizabeth Zicari, PA-C

Charley Elizabeth Zicari, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (315) 608-0047.

NPI 1275378275Rochester, NYPhysician Assistant

Profile Overview

NPI
1275378275
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024

Practice Location

  • 23 Traymore RD
  • Rochester, NY 14609-5801

Phone: (315) 608-0047

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1275378275
Entity Type
Individual
Last Name
Zicari
First Name
Charley
Middle Name
Elizabeth
Credential
PA-C
Mailing Street Address
23 Traymore RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-5801
Mailing Country
US
Mailing Phone
(315) 608-0047
Practice Street Address
23 Traymore RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-5801
Practice Country
US
Practice Phone
(315) 608-0047
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)