National Provider Identifier

Stacey Gombetto I, RPA-C

Stacey Gombetto I, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-2197.

NPI 1427094895Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1427094895
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 22, 2006
Last Updated
October 27, 2010

Practice Location

  • 1425 Portland Ave
  • Twig Medical Group
  • Rochester, NY 14621-3001

Phone: (585) 922-2197

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1427094895
Entity Type
Individual
Last Name
Gombetto
First Name
Stacey
Name Suffix
I
Credential
RPA-C
Mailing Street Address
1425 Portland Ave
Mailing Address Line 2
Twig Medical Group
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-2197
Practice Street Address
1425 Portland Ave
Practice Address Line 2
Twig Medical Group
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-2197
Enumeration Date
June 22, 2006
Last Updated
October 27, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
02512545 (NY)