National Provider Identifier
John Michael Purificato, PA-C
John Michael Purificato, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Penfield, NY and a listed phone number of (585) 388-6000.
Profile Overview
- NPI
- 1427830306
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 16, 2023
- Last Updated
- October 16, 2023
Practice Location
- 481 Penbrooke Dr Ste 6
- Penfield, NY 14526-2044
Phone: (585) 388-6000
Mailing Address
- 18 Woodlawn Ave
- Fairport, NY 14450-2120
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1427830306
- Entity Type
- Individual
- Last Name
- Purificato
- First Name
- John
- Middle Name
- Michael
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 18 Woodlawn Ave
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2120
- Mailing Country
- US
- Practice Street Address
- 481 Penbrooke Dr Ste 6
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2044
- Practice Country
- US
- Practice Phone
- (585) 388-6000
- Enumeration Date
- October 16, 2023
- Last Updated
- October 16, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)