National Provider Identifier
Mark Bertolone
Mark Bertolone is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.
Profile Overview
- NPI
- 1528634185
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 03, 2021
- Last Updated
- July 17, 2023
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 473-2200
Mailing Address
- 6481 Cedar Creek Way
- Farmington, NY 14425-9557
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1528634185
- Entity Type
- Individual
- Last Name
- Bertolone
- First Name
- Mark
- Mailing Street Address
- 6481 Cedar Creek Way
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425-9557
- Mailing Country
- US
- Mailing Phone
- (585) 802-1868
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- June 03, 2021
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 29, 2021
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)