National Provider Identifier

Ryan Peterson, PA

Ryan Peterson, 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) 276-3700.

NPI 1356758940Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1356758940
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 16, 2014
Last Updated
October 14, 2025

Practice Location

  • 300 Crittenden Blvd
  • Rochester, NY 14642-0001

Phone: (585) 276-3700

Mailing Address

  • 300 Crittenden Blvd
  • Box Psych
  • Rochester, NY 14642-0001

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • ryan.peterson@rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1356758940
Entity Type
Individual
Last Name
Peterson
First Name
Ryan
Name Prefix
Mr.
Credential
PA
Mailing Street Address
300 Crittenden Blvd
Mailing Address Line 2
Box Psych
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 276-3700
Mailing Fax
(585) 276-1903
Practice Street Address
300 Crittenden Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 276-3700
Enumeration Date
July 16, 2014
Last Updated
October 14, 2025
Sex
Male
Sole Proprietor
No
Certification Date
October 14, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)