National Provider Identifier
Marisa J. Roach, PA
Marisa J. Roach, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7070.
Profile Overview
- NPI
- 1275794083
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 24, 2008
- Last Updated
- November 04, 2015
Practice Location
- 1555 Long Pond RD
- Emergency Center
- Rochester, NY 14626-4122
Phone: (585) 723-7070
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1275794083
- Entity Type
- Individual
- Last Name
- Roach
- First Name
- Marisa
- Middle Name
- J.
- Credential
- PA
- Mailing Street Address
- 1555 Long Pond RD
- Mailing Address Line 2
- Emergency Center
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7070
- Mailing Fax
- (585) 723-7083
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Emergency Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7070
- Practice Fax
- (585) 723-7083
- Enumeration Date
- June 24, 2008
- Last Updated
- November 04, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- P01518713 (NY, Medicare Rr), 03034177 (NY)