National Provider Identifier
Elizabeth Marie Mikuszewski, PHYSICIAN ASSISTANT
Elizabeth Marie Mikuszewski, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 787-4000.
Profile Overview
- NPI
- 1508063140
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 28, 2007
- Last Updated
- October 01, 2009
Practice Location
- 196 North St
- Geneva, NY 14456-1651
Phone: (315) 787-4000
Mailing Address
- 376 Pearl St
- Rear Apt
- Rochester, NY 14607-3732
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1508063140
- Entity Type
- Individual
- Last Name
- Mikuszewski
- First Name
- Elizabeth
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 376 Pearl St
- Mailing Address Line 2
- Rear Apt
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3732
- Mailing Country
- US
- Mailing Phone
- (716) 969-4087
- Practice Street Address
- 196 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1651
- Practice Country
- US
- Practice Phone
- (315) 787-4000
- Enumeration Date
- June 28, 2007
- Last Updated
- October 01, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)