National Provider Identifier
Michael Roberts, PA-C
Michael Roberts, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 787-4056.
Profile Overview
- NPI
- 1366993859
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 19, 2016
- Last Updated
- October 19, 2016
Practice Location
- 196 North St
- Geneva, NY 14456-1651
Phone: (315) 787-4056
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1366993859
- Entity Type
- Individual
- Last Name
- Roberts
- First Name
- Michael
- Credential
- PA-C
- Mailing Street Address
- 196 North St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1651
- Mailing Country
- US
- Practice Street Address
- 196 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1651
- Practice Country
- US
- Practice Phone
- (315) 787-4056
- Enumeration Date
- October 19, 2016
- Last Updated
- October 19, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)