National Provider Identifier

Mitchell Haefele

Mitchell Haefele is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Canandaigua, NY and a listed phone number of (585) 396-6000.

NPI 1386323780Canandaigua, NYMedical Physician Assistant

Profile Overview

NPI
1386323780
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 13, 2023
Last Updated
July 13, 2023

Practice Location

  • 335 Parrish St
  • Canandaigua, NY 14424-1728

Phone: (585) 396-6000

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1386323780
Entity Type
Individual
Last Name
Haefele
First Name
Mitchell
Mailing Street Address
335 Parrish St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1728
Mailing Country
US
Mailing Phone
(585) 396-6000
Practice Street Address
335 Parrish St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1728
Practice Country
US
Practice Phone
(585) 396-6000
Enumeration Date
July 13, 2023
Last Updated
July 13, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)