National Provider Identifier
Mason Frederick Beaudry, PA-C
Mason Frederick Beaudry, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Batavia, NY and a listed phone number of (585) 343-6030.
Profile Overview
- NPI
- 1396303301
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 04, 2019
- Last Updated
- July 27, 2023
Practice Location
- 127 North Street
- Batavia, NY 14020
Phone: (585) 343-6030
Mailing Address
- 100 Kings Highway South
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Endpoints
- mbeaudry534028@direct.sw.org
Direct Messaging Address | Direct | Waco, TX 76712
Full Record
- NPI
- 1396303301
- Entity Type
- Individual
- Last Name
- Beaudry
- First Name
- Mason
- Middle Name
- Frederick
- Credential
- PA-C
- Mailing Street Address
- 100 Kings Highway South
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Practice Street Address
- 127 North Street
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020
- Practice Country
- US
- Practice Phone
- (585) 343-6030
- Enumeration Date
- June 04, 2019
- Last Updated
- July 27, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)