National Provider Identifier
Andrew Ellison, PA
Andrew Ellison, 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) 232-2980.
Profile Overview
- NPI
- 1538745336
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 22, 2021
- Last Updated
- September 24, 2021
Practice Location
- 995 Senator Keating Blvd Ste 330
- Rochester, NY 14618-2779
Phone: (585) 232-2980
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1538745336
- Entity Type
- Individual
- Last Name
- Ellison
- First Name
- Andrew
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 232-2980
- Mailing Fax
- (585) 232-6552
- Practice Street Address
- 995 Senator Keating Blvd Ste 330
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2779
- Practice Country
- US
- Practice Phone
- (585) 232-2980
- Practice Fax
- (585) 232-6552
- Enumeration Date
- March 22, 2021
- Last Updated
- September 24, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)