National Provider Identifier

Michelle Moran, PA-C

Michelle Moran, PA-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) 922-4000.

NPI 1457873580Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1457873580
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 11, 2017
Last Updated
January 05, 2023

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Mailing Address

  • 19 Falcon Trl
  • Pittsford, NY 14534-2456

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • myoung181485@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1457873580
Entity Type
Individual
Last Name
Moran
First Name
Michelle
Credential
PA-C
Provider Other Last Name
Young
Provider Other First Name
Michelle
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
19 Falcon Trl
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2456
Mailing Country
US
Mailing Phone
(585) 200-2848
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
July 11, 2017
Last Updated
January 05, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)