National Provider Identifier

Dylan Shea Markle, PHYSICIAN ASSISTANT

Dylan Shea Markle, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.

NPI 1528652674Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1528652674
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
March 01, 2021
Last Updated
July 07, 2023

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2782

Phone: (585) 473-2200

Mailing Address

  • 52 Pease RD
  • Spencerport, NY 14559-1518

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1528652674
Entity Type
Individual
Last Name
Markle
First Name
Dylan
Middle Name
Shea
Credential
PHYSICIAN ASSISTANT
Mailing Street Address
52 Pease RD
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1518
Mailing Country
US
Mailing Phone
(585) 831-3678
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2782
Practice Country
US
Practice Phone
(585) 473-2200
Enumeration Date
March 01, 2021
Last Updated
July 07, 2023
Sex
Male
Sole Proprietor
No
Certification Date
March 01, 2021
Taxonomies
Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)