National Provider Identifier

Eliza Walter, PA

Eliza Walter, PA 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 1467727768Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1467727768
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
March 20, 2012
Last Updated
May 06, 2021

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Mailing Address

  • 73 Reitz Pkwy
  • Pittsford, NY 14534-2232

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • ewalter101163@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1467727768
Entity Type
Individual
Last Name
Walter
First Name
Eliza
Credential
PA
Mailing Street Address
73 Reitz Pkwy
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2232
Mailing Country
US
Mailing Phone
(315) 416-3300
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
March 20, 2012
Last Updated
May 06, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)