National Provider Identifier
Mary L Wager, P.A.
Mary L Wager, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1487756151
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 02, 2006
- Last Updated
- February 10, 2010
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1487756151
- Entity Type
- Individual
- Last Name
- Wager
- First Name
- Mary
- Middle Name
- L
- Credential
- P.A.
- Provider Other Last Name
- Schaefer
- Provider Other First Name
- Mary
- Provider Other Middle Name
- L
- Provider Other Credential Text
- P.A.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- 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
- September 02, 2006
- Last Updated
- February 10, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)