National Provider Identifier
Marisa Kae Hanlon, PA
Marisa Kae Hanlon, 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) 723-7000.
Profile Overview
- NPI
- 1336616648
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 25, 2018
- Last Updated
- October 20, 2022
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7000
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Endpoints
- marisa.hanlon@rochesterregional.org
Direct Messaging Address | Rochester, NY 14626
Full Record
- NPI
- 1336616648
- Entity Type
- Individual
- Last Name
- Hanlon
- First Name
- Marisa
- Middle Name
- Kae
- Name Prefix
- Miss
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 723-7000
- Mailing Fax
- (585) 723-7280
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Practice Fax
- (585) 723-7280
- Enumeration Date
- October 25, 2018
- Last Updated
- October 20, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)